• Internal medicine · Nov 2023

    Case Reports

    Complete Circumferential Endoscopic Submucosal Dissection for Esophageal Cancer Leaving an Island of Normal Mucosa.

    • Yugo Suzuki, Mako Koseki, Akira Matsui, Daisuke Kikuchi, and Shu Hoteya.
    • Department of Gastroenterology, Toranomon Hospital, Japan.
    • Intern. Med. 2023 Nov 1; 62 (21): 313131353131-3135.

    AbstractEsophageal stricture caused by complete circumferential endoscopic submucosal dissection (ESD) of extensive esophageal squamous cell carcinoma (ESCC) is a major concern and can result in a low quality of life. Normal mucosa may remain within a complete circumferential lesion of ESCC in some cases. We herein report a case of ESCC in which a complete circumferential lesion was treated with ESD while leaving an island of normal mucosa within it. This case demonstrates that preserving areas of normal mucosa within lesions during complete circumferential ESD is not technically difficult and may be an effective measure for preventing esophageal stricture.

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