Successful Prevention of Stenosis After Circumferential Endoscopic Resection of Esophageal Cancer

Overview

Journal Nagoya J Med Sci

Specialty General Medicine

Date 2023 Mar 16

PMID 36923622

Authors

Hitoshi Tanaka

Naomi Kakushima

Koichi Muroi

Takashi Hirose

Tomohiko Suzuki

Takahiro Suzuki

Emiko Hida

Keiko Hirai

Hiroyuki Shibata

Nobuhito Ito

Satoshi Furune

Kazuhiro Furukawa

Mitsuhiro Fujishiro

Affiliations

Soon will be listed here.

Abstract

Circumferential resection of a >5-cm longitudinal mucosal defect following esophageal endoscopic submucosal dissection (ESD) is a risk factor for refractory stenosis. Circumferential ESD was performed in 3 patients with 64, 69, and 70 mm longitudinal mucosal defects. A local steroid injection was used to treat the postoperative ulcer, followed by an oral steroid. In all three cases, the ulcer healed without the need for endoscopic dilation. A combination of local injection and oral steroids effectively prevented esophageal stenosis in patients with high-risk stenosis after ESD.

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