Endoscopic submucosal dissection combined with the placement of biodegradable stents for recurrent esophageal cancer after chemoradiotherapy

被引：18
作者：
Mochizuki Y. [1 ]
Saito Y. [1 ]
Tanaka T. [3 ]
Nitta N. [3 ]
Yamada H. [5 ]
Tsujikawa T. [4 ]
Murata K. [3 ]
Fujiyama Y. [4 ]
Andoh A. [2 ]
机构：
[1] Division of Digestive Endoscopy, Department of Medicine, Shiga University of Medical Science, Seta-Tukinowa
[2] Division of Mucosal Immunology, Graduate School of Medicine, Shiga University of Medical Science, Seta-Tukinowa, Otsu
[3] Department of Radiology, Shiga University of Medical Science, Seta-Tukinowa, Otsu
[4] Department of Medicine, Shiga University of Medical Science, Seta-Tukinowa, Otsu
[5] Kyoto Medical Planning Co. Ltd., Yamashina, Kyoto
来源：
Journal of Gastrointestinal Cancer | 2012年 / 43卷 / 2期
关键词：
Chemoradiotherapy; ESD; Esophageal cancer;
D O I：
10.1007/s12029-011-9283-z
中图分类号：
学科分类号：
摘要：
We report a case of a patient with esophageal squamous cell carcinoma who presented with obstruction of the esophagus. On endoscopy, a central ulcerating lesion was found spreading to the anterior wall of the middle esophagus. Four courses of chemoradiation therapy successfully produced a complete response for 3 years. A recurrence occurred which consisted of a morphologically flat lesion that occupied the entire circumference of the esophagus. Endoscopic submucosal dissection removed all lesions en bloc. To prevent a post-procedure mucosal defect of the circumference of the esophagus, biodegradable polyl- lactic acid monofilaments esophageal stents were placed on the same day. One month later, the patient reported a feeling of obstruction. An endoscopic examination revealed food stuck in the stents, this was removed, and balloon dilatation provided good passage which has been maintained for 7 months. © Springer Science+Business Media, LLC 2011.
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页码：324 / 328
页数：4
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