Endoluminal Cooling of the Esophagus during Percutaneous Thermal Ablation for Juxtaesophageal Liver Neoplasm: Two Cases

Thermal injury to the surrounding hollow organs should be avoided during thermal ablation therapy. Although this type of injury is rare, severe complications, such as perforation or stricture, have been reported. Despite the development of various adjunctive thermoprotection techniques, there are a...

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Main Authors: Chihiro Itou, Yasuaki Arai, Miyuki Sone, Shunsuke Sugawara
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2021-01-01
Series:The Arab Journal of Interventional Radiology
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1730119
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author Chihiro Itou
Yasuaki Arai
Miyuki Sone
Shunsuke Sugawara
author_facet Chihiro Itou
Yasuaki Arai
Miyuki Sone
Shunsuke Sugawara
author_sort Chihiro Itou
collection DOAJ
description Thermal injury to the surrounding hollow organs should be avoided during thermal ablation therapy. Although this type of injury is rare, severe complications, such as perforation or stricture, have been reported. Despite the development of various adjunctive thermoprotection techniques, there are a few reports of their use for protecting the esophagus during liver ablation therapy. Endoluminal irrigation is a well-known technique for protecting hollow organs, such as the biliary tract, renal pelvis, ureter, and rectum; however, it is used infrequently for avoiding thermal injury to the esophagus. There may be hesitation in treating juxtaesophageal liver tumors with conventional ultrasound-guided ablation because the location restricts the ultrasonic window due to the poor visibility. We successfully treated two consecutive cases of juxtaesophageal liver tumor with computed tomography-guided ablation by applying endoluminal irrigation and cooling via a 12-French nasal feeding tube placed in the lower esophagus.
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spelling doaj.art-d413616c458b42d08bb0a32cb8b713a02022-12-21T20:12:55ZengThieme Medical and Scientific Publishers Pvt. Ltd.The Arab Journal of Interventional Radiology2542-70752542-70832021-01-0150104805110.1055/s-0041-1730119Endoluminal Cooling of the Esophagus during Percutaneous Thermal Ablation for Juxtaesophageal Liver Neoplasm: Two CasesChihiro Itou0Yasuaki Arai1Miyuki Sone2Shunsuke Sugawara3Department of Diagnostic Radiology, National Cancer Center Hospital, Chuo-ku, Tokyo, JapanDepartment of Diagnostic Radiology, National Cancer Center Hospital, Chuo-ku, Tokyo, JapanDepartment of Diagnostic Radiology, National Cancer Center Hospital, Chuo-ku, Tokyo, JapanDepartment of Diagnostic Radiology, National Cancer Center Hospital, Chuo-ku, Tokyo, JapanThermal injury to the surrounding hollow organs should be avoided during thermal ablation therapy. Although this type of injury is rare, severe complications, such as perforation or stricture, have been reported. Despite the development of various adjunctive thermoprotection techniques, there are a few reports of their use for protecting the esophagus during liver ablation therapy. Endoluminal irrigation is a well-known technique for protecting hollow organs, such as the biliary tract, renal pelvis, ureter, and rectum; however, it is used infrequently for avoiding thermal injury to the esophagus. There may be hesitation in treating juxtaesophageal liver tumors with conventional ultrasound-guided ablation because the location restricts the ultrasonic window due to the poor visibility. We successfully treated two consecutive cases of juxtaesophageal liver tumor with computed tomography-guided ablation by applying endoluminal irrigation and cooling via a 12-French nasal feeding tube placed in the lower esophagus.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1730119endoluminal irrigationesophagusliver neoplasmnasal feeding tubethermal ablation
spellingShingle Chihiro Itou
Yasuaki Arai
Miyuki Sone
Shunsuke Sugawara
Endoluminal Cooling of the Esophagus during Percutaneous Thermal Ablation for Juxtaesophageal Liver Neoplasm: Two Cases
The Arab Journal of Interventional Radiology
endoluminal irrigation
esophagus
liver neoplasm
nasal feeding tube
thermal ablation
title Endoluminal Cooling of the Esophagus during Percutaneous Thermal Ablation for Juxtaesophageal Liver Neoplasm: Two Cases
title_full Endoluminal Cooling of the Esophagus during Percutaneous Thermal Ablation for Juxtaesophageal Liver Neoplasm: Two Cases
title_fullStr Endoluminal Cooling of the Esophagus during Percutaneous Thermal Ablation for Juxtaesophageal Liver Neoplasm: Two Cases
title_full_unstemmed Endoluminal Cooling of the Esophagus during Percutaneous Thermal Ablation for Juxtaesophageal Liver Neoplasm: Two Cases
title_short Endoluminal Cooling of the Esophagus during Percutaneous Thermal Ablation for Juxtaesophageal Liver Neoplasm: Two Cases
title_sort endoluminal cooling of the esophagus during percutaneous thermal ablation for juxtaesophageal liver neoplasm two cases
topic endoluminal irrigation
esophagus
liver neoplasm
nasal feeding tube
thermal ablation
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1730119
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AT miyukisone endoluminalcoolingoftheesophagusduringpercutaneousthermalablationforjuxtaesophagealliverneoplasmtwocases
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