Strategy for endoscopic submucosal dissection of carcinoma of the abdominal esophagus

被引:0
|
作者
Manabu Takeuchi
Masaaki Kobayashi
Satoru Hashimoto
Yuichi Sato
Rintaro Narisawa
Yutaka Aoyagi
机构
[1] Niigata University Hospital,Department of Endoscopy
[2] Niigata University Graduate School of Medical and Dental Sciences,Department of Gastroenterology
来源
Esophagus | 2010年 / 7卷
关键词
Esophageal carcinoma; Abdominal esophagus; Hook knife;
D O I
暂无
中图分类号
学科分类号
摘要
A novel method of endoscopic submucosal dissection (ESD) has improved en bloc resection rates and decreased local recurrence after endoscopic therapy as compared with endoscopic mucosal resection (EMR), and resected ESD specimens allow accurate histopathological assessment. Although ESD has become popular for treating gastric neoplasms, esophageal ESD is more difficult than gastric ESD because of the anatomical characteristics of the esophagus. Thus, advanced endoscopic techniques are required. A good endoscopic field cannot always be obtained because the lumen of the abdominal esophagus is very narrow. Thus, the abdominal esophagus is one of the most technically difficult locations in which to implement ESD. Mucosal incision and submucosal dissection at the distal side of the lesion can be performed more easily at the anal side of the esophagogastric junction (EGJ) using the retroflex rather than the forward endoscopic view, and the endpoint of submucosal dissection can be defined. Longitudinal submucosal dissection of one side of the lesion from the proximal to the distal region is not necessary for an advanced scope and angle control. This strategy is useful when employing ESD to treat abdominal esophageal carcinoma.
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页码:173 / 176
页数:3
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