Treatment of long-segment Barrett’s adenocarcinoma by complete circular endoscopic submucosal dissection: a case report
Abstract Background We present the first description of en bloc endoscopic submucosal dissection (ESD) for total circumferential Barrett’s adenocarcinoma, predominantly of the long-segment Barrett’s esophagus (LSBE), with a 2-year follow-up and management strategies for esophageal stricture preventi...
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doaj-ade46ad113fd4f68b7b6334bcd48222e2020-11-25T03:37:15ZengBMCBMC Gastroenterology1471-230X2018-01-011811510.1186/s12876-018-0743-9Treatment of long-segment Barrett’s adenocarcinoma by complete circular endoscopic submucosal dissection: a case reportMiki Kaneko0Akira Mitoro1Motoyuki Yoshida2Masayoshi Sawai3Yasushi Okura4Masanori Furukawa5Tadashi Namisaki6Kei Moriya7Takemi Akahane8Hideto Kawaratani9Mitsuteru Kitade10Kousuke Kaji11Hiroaki Takaya12Yasuhiko Sawada13Kenichiro Seki14Shinya Sato15Tomomi Fujii16Junichi Yamao17Chiho Obayashi18Hitoshi Yoshiji19Third Department of Internal Medicine, Nara Medical UniversityThird Department of Internal Medicine, Nara Medical UniversityThird Department of Internal Medicine, Nara Medical UniversityThird Department of Internal Medicine, Nara Medical UniversityThird Department of Internal Medicine, Nara Medical UniversityThird Department of Internal Medicine, Nara Medical UniversityThird Department of Internal Medicine, Nara Medical UniversityThird Department of Internal Medicine, Nara Medical UniversityThird Department of Internal Medicine, Nara Medical UniversityThird Department of Internal Medicine, Nara Medical UniversityThird Department of Internal Medicine, Nara Medical UniversityThird Department of Internal Medicine, Nara Medical UniversityThird Department of Internal Medicine, Nara Medical UniversityThird Department of Internal Medicine, Nara Medical UniversityThird Department of Internal Medicine, Nara Medical UniversityThird Department of Internal Medicine, Nara Medical UniversityDepartment of Diagnostic Pathology, Nara Medical UniversityDepartment of Endoscopy, Nara Medical UniversityDepartment of Diagnostic Pathology, Nara Medical UniversityThird Department of Internal Medicine, Nara Medical UniversityAbstract Background We present the first description of en bloc endoscopic submucosal dissection (ESD) for total circumferential Barrett’s adenocarcinoma, predominantly of the long-segment Barrett’s esophagus (LSBE), with a 2-year follow-up and management strategies for esophageal stricture prevention. Case presentation A 59-year-old man was diagnosed with LSBE and Barrett’s adenocarcinoma by esophagogastroduodenoscopy (EGD). A 55-mm-long circumferential tumor was completely resected by ESD. Histopathology revealed a well-differentiated adenocarcinoma within the LSBE superficial muscularis mucosa. For post-ESD stricture prevention, the patient underwent an endoscopic triamcinolone injection administration, oral prednisolone administration, and preemptive endoscopic balloon dilatation. Two years later, there is no evidence of esophageal stricture or recurrence. Conclusions ESD appears to be a safe, effective option for total circumferential Barrett’s adenocarcinoma in LSBE.http://link.springer.com/article/10.1186/s12876-018-0743-9Barrett esophagusAdenocarcinoma of esophagusEndoscopic submucosal dissectionsEsophageal stricture |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Miki Kaneko Akira Mitoro Motoyuki Yoshida Masayoshi Sawai Yasushi Okura Masanori Furukawa Tadashi Namisaki Kei Moriya Takemi Akahane Hideto Kawaratani Mitsuteru Kitade Kousuke Kaji Hiroaki Takaya Yasuhiko Sawada Kenichiro Seki Shinya Sato Tomomi Fujii Junichi Yamao Chiho Obayashi Hitoshi Yoshiji |
spellingShingle |
Miki Kaneko Akira Mitoro Motoyuki Yoshida Masayoshi Sawai Yasushi Okura Masanori Furukawa Tadashi Namisaki Kei Moriya Takemi Akahane Hideto Kawaratani Mitsuteru Kitade Kousuke Kaji Hiroaki Takaya Yasuhiko Sawada Kenichiro Seki Shinya Sato Tomomi Fujii Junichi Yamao Chiho Obayashi Hitoshi Yoshiji Treatment of long-segment Barrett’s adenocarcinoma by complete circular endoscopic submucosal dissection: a case report BMC Gastroenterology Barrett esophagus Adenocarcinoma of esophagus Endoscopic submucosal dissections Esophageal stricture |
author_facet |
Miki Kaneko Akira Mitoro Motoyuki Yoshida Masayoshi Sawai Yasushi Okura Masanori Furukawa Tadashi Namisaki Kei Moriya Takemi Akahane Hideto Kawaratani Mitsuteru Kitade Kousuke Kaji Hiroaki Takaya Yasuhiko Sawada Kenichiro Seki Shinya Sato Tomomi Fujii Junichi Yamao Chiho Obayashi Hitoshi Yoshiji |
author_sort |
Miki Kaneko |
title |
Treatment of long-segment Barrett’s adenocarcinoma by complete circular endoscopic submucosal dissection: a case report |
title_short |
Treatment of long-segment Barrett’s adenocarcinoma by complete circular endoscopic submucosal dissection: a case report |
title_full |
Treatment of long-segment Barrett’s adenocarcinoma by complete circular endoscopic submucosal dissection: a case report |
title_fullStr |
Treatment of long-segment Barrett’s adenocarcinoma by complete circular endoscopic submucosal dissection: a case report |
title_full_unstemmed |
Treatment of long-segment Barrett’s adenocarcinoma by complete circular endoscopic submucosal dissection: a case report |
title_sort |
treatment of long-segment barrett’s adenocarcinoma by complete circular endoscopic submucosal dissection: a case report |
publisher |
BMC |
series |
BMC Gastroenterology |
issn |
1471-230X |
publishDate |
2018-01-01 |
description |
Abstract Background We present the first description of en bloc endoscopic submucosal dissection (ESD) for total circumferential Barrett’s adenocarcinoma, predominantly of the long-segment Barrett’s esophagus (LSBE), with a 2-year follow-up and management strategies for esophageal stricture prevention. Case presentation A 59-year-old man was diagnosed with LSBE and Barrett’s adenocarcinoma by esophagogastroduodenoscopy (EGD). A 55-mm-long circumferential tumor was completely resected by ESD. Histopathology revealed a well-differentiated adenocarcinoma within the LSBE superficial muscularis mucosa. For post-ESD stricture prevention, the patient underwent an endoscopic triamcinolone injection administration, oral prednisolone administration, and preemptive endoscopic balloon dilatation. Two years later, there is no evidence of esophageal stricture or recurrence. Conclusions ESD appears to be a safe, effective option for total circumferential Barrett’s adenocarcinoma in LSBE. |
topic |
Barrett esophagus Adenocarcinoma of esophagus Endoscopic submucosal dissections Esophageal stricture |
url |
http://link.springer.com/article/10.1186/s12876-018-0743-9 |
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