Preemptive Dilatation Gives Good Outcome to Early Esophageal Stricture After Circumferential Endoscopic Submucosal Dissection
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摘要Endoscopic submucosal dissection (ESD) is gaining popularity over endoscopic mucosal resection for treatment of superficial upper gastrointestinal cancers. It allows a more controlled en-bloc resection of intramucosal neoplasia allowing larger lesion in both stomach and esophagus to be resected. Lower local recurrence rate can be achieved. This is particularly important in the esophagus, as luminal stricture and deep fibrosis often hinder the possibility of repeat endoscopic resection of recurrences. The exact incidence of benign luminal strictures after the ESD of the esophagus lesion is unknown, but the risk is related to the circumferential extent of the lesion being resected, which is expected to develop in cases with post-ESD ulcer more than two-thirds of the circumference. We report 2 patients with early stenosis after circumferential ESD. We have also showed that scheduled early regular endoscopic balloon dilatation was effective in controlling and preventing post-ESD stricture. In conclusion, we suggest early follow-up esophagogastroduodenoscopy to be done for patients with circumferential ESD to determine the need of preemptive dilatation.
著者Wong VWY, Teoh AY, Fujishiro M, Chiu PW, Ng EKW
期刊名稱Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
出版年份2010
月份2
日期1
卷號20
期次1
出版社LIPPINCOTT WILLIAMS & WILKINS
頁次E25 - E27
國際標準期刊號1530-4515
電子國際標準期刊號1534-4908
語言英式英語
關鍵詞benign stricture; endoluminal surgery; endoscopic submucosal dissection; esophageal stricture
Web of Science 學科類別Surgery; SURGERY

上次更新時間 2021-08-12 於 00:01