Endoscopic Submucosal Dissection of Early Esophageal Cancer

Oyama, Tsuneo; Tomori, Akihisa; Hotta, Kinichi; S, Morita; Kominato, Ken; Tanaka, Masaki; Miyata, Yoshinori

doi:10.1016/s1542-3565(05)00291-0

Cited by 571 publications

(387 citation statements)

References 8 publications

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“…Several studies in advanced institutes showed that ESD was promising for superficial epithelial neoplasms with nominal risks for nodal or distant metastasis [4,5,6]. Nevertheless, a substantial risk of procedure-related complications, including potentially life-threatening perforation and postprocedural stenosis due to the narrow esophageal lumen, has been reported [4].…”

Section: Introductionmentioning

confidence: 99%

“…Nevertheless, a substantial risk of procedure-related complications, including potentially life-threatening perforation and postprocedural stenosis due to the narrow esophageal lumen, has been reported [4]. Although the exact incidence of luminal stricture after esophageal ESD is unknown, it is related to the extent of the circumference being resected [7].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effect of Oral Prednisolone on Esophageal Stricture after Complete Circular Endoscopic Submucosal Dissection for Superficial Esophageal Squamous Cell Carcinoma: A Case Report

Yamaguchi¹,

Isomoto²,

Shikuwa³

et al. 2011

Digestion

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A 74-year-old man with nausea underwent upper gastrointestinal endoscopy, and a 0-IIb type tumor was found in the middle thoracic esophagus. Histological examination with endoscopic biopsies revealed squamous cell carcinoma (SCC), and chromoendoscopy with iodine staining revealed that the superficial SCC involved nearly the entire circumference of the esophageal lumen. There were neither nodal nor distant metastases. Complete circular endoscopic submucosal dissection (ESD) was successfully achieved with tumor-free margins in an en bloc fashion. The histopathological examination confirmed a diagnosis of intramucosal invasive carcinoma limited to the lamina propria mucosae without angiolymphatic invasion. Oral prednisolone was started with 0.5 mg/kg daily on the 3rd post-ESD day, tapered gradually, and then discontinued 8 weeks later without adverse effects. There were no complaints of dysphagia following ESD. On follow-up endoscopy with iodine staining, which was scheduled at 1, 3 and 6 months after ESD, there was no postprocedural esophageal stricture, and neither recurrent nor metachronous lesions were found. Thus, the patient required no sessions of endoscopic balloon dilatation. At the last outpatient clinic visit 7 months after ESD, he remained well without dysphagia. Oral prednisolone administration may offer an effective therapeutic strategy to prevent the post-ESD esophageal stricture after complete circular ESD.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effect of Oral Prednisolone on Esophageal Stricture after Complete Circular Endoscopic Submucosal Dissection for Superficial Esophageal Squamous Cell Carcinoma: A Case Report

Yamaguchi¹,

Isomoto²,

Shikuwa³

et al. 2011

Digestion

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show abstract

“…Many types of endoscopic electrocautery knives have been developed to perform ESD ( Figure 3): a needle knife, 5 an insulationtipped (IT) knife 1 and 2, 6-12 a hook knife, 13 a flex knife, 14 a flush knife, 15 a triangular-tipped (TT) knife, 16 a fork knife, 17 and the recently introduced dual knife, 18 hybrid knife 19 and the splash needle. 20 Each knife has its own characteristic regarding its design: diameter, length and the form of the tip, as well as rigidity (in the case of the flex knife).…”

Section: Methodsmentioning

confidence: 99%

Endoscopic submucosal dissection

Robles-Medranda

2012

Gastroenterol Insights

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Endoscopic submucosal dissection (ESD) is a minimally invasive technique developed by Japanese endoscopists that allows one-piece endoscopic removal of early malignant lesions in the gastrointestinal tract. There is now a large and ever-increasing number of reports worldwide, and in the West use of this technique is on the increase. New materials and techniques have been developed to improve the technical aspects of ESD. Recent reports show successful clinical outcomes and improved overall 5-year survival rates for this technique. This review aims to offer an update of ESD based on the latest reports in the literature.

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“…Standard ESD requires special cutting knives, such as a needle knife (Hirano et al 1988), an insulation-tipped electrosurgical (IT) knife (Ono et al 2001, Ohkuwa et al 2001, Miyamoto et al 2002, Rösch et al 2004, Gotoda et al 2005), a hook knife (Oyama et al 2002(Oyama et al , 2005, a flex knife (Yahagi et al 2004), a flush knife (Toyonaga et al 2007), a triangle-tip (TT) knife (Inoue et al 2004) and a mucosectome (Kawahara et al 2007). …”

Section: Stadard Esdmentioning

confidence: 99%

“…The top of the hook-type knife is right-angled, 1 mm in size (Oyama et al 2002(Oyama et al , 2005. Compared to the use of a needle knife, safety is improved because the submucosal tissue is hooked and pulled before incision.…”

Section: Hook Knifementioning

confidence: 99%

EMR and ESD for Gastrointestinal Neoplasms

Kume¹

2011

New Techniques in Gastrointestinal Endoscopy

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Endoscopic Submucosal Dissection of Early Esophageal Cancer

Cited by 571 publications

References 8 publications

Effect of Oral Prednisolone on Esophageal Stricture after Complete Circular Endoscopic Submucosal Dissection for Superficial Esophageal Squamous Cell Carcinoma: A Case Report

Effect of Oral Prednisolone on Esophageal Stricture after Complete Circular Endoscopic Submucosal Dissection for Superficial Esophageal Squamous Cell Carcinoma: A Case Report

Endoscopic submucosal dissection

EMR and ESD for Gastrointestinal Neoplasms

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