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首页> 美国卫生研究院文献>JGH Open: An Open Access Journal of Gastroenterology and Hepatology >Successful esophageal endoscopic submucosal dissection with a transoral endoscope after stepwise scope bougienage of post‐endoscopic submucosal dissection stricture
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Successful esophageal endoscopic submucosal dissection with a transoral endoscope after stepwise scope bougienage of post‐endoscopic submucosal dissection stricture

机译：成功的食管内窥镜粘膜粘膜粘膜粘膜缺陷后端镜下粘膜清除狭窄后逐步范围内逐步抑制

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Endoscopic submucosal dissection (ESD) for extensive esophageal cancer inevitably causes a post‐ESD stricture. It may be difficult to perform additional ESD if a new lesion develops on the anus side of the post‐ESD stricture. We sometimes perform balloon dilation of post‐ESD stricture in advance, so we could perform ESD using a transoral scope; however, there is a risk of balloon dilation causing severe tearing of the lesions if it is located near the stricture. A 68‐year‐old man who had undergone ESD for esophageal cancer several times was diagnosed with early esophageal cancer. The lesion was located near the anus side of the post‐ESD stricture. Unfortunately, the lesion was located on another post‐ESD scar. Although ESD using a transnasal scope was a useful option, it was expected to be challenging as the submucosal layer was thought to have severe fibrosis. We attempted to perform ESD with a transoral endoscope after stepwise scope bougienage of post‐ESD stricture.
机译：内镜下粘膜粘膜解剖（ESD）对于广泛的食管癌不可避免地导致ESD后狭窄。如果新的病变在后ESD狭窄的肛门侧开发，则可能难以执行额外的ESD。我们有时会提前进行ESD后狭窄的球囊扩张，因此我们可以使用多种范围进行ESD;然而，如果在狭窄附近，存在气球扩张的风险导致病变的严重撕裂。一名68岁的男子已经诊断出患有早期食管癌的食管癌ESD的68岁男性。病变位于ESD后狭窄的肛门侧附近。不幸的是，病变位于另一个ESD后瘢痕上。尽管使用跨境范围的ESD是一个有用的选择，但预计亚霉菌层被认为具有严重纤维化的粘液层。我们试图在ESD后狭窄的逐步范围内与近似轨道内窥镜进行ESD。

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