AI Article Synopsis

  • Esophageal strictures, often resulting from complete circumferential endoscopic submucosal dissection (ESD) of extensive esophageal squamous cell carcinoma (ESCC), can lead to significant quality of life issues.
  • In a reported case, ESD was performed on a circumferential ESCC lesion, intentionally leaving a small island of normal mucosa within the treated area.
  • This approach showed that it is technically feasible to preserve normal mucosal regions during ESD, potentially reducing the risk of post-procedural esophageal stricture.

Article Abstract

Esophageal stricture caused by complete circumferential endoscopic submucosal dissection (ESD) of extensive esophageal squamous cell carcinoma (ESCC) is a major concern and can result in a low quality of life. Normal mucosa may remain within a complete circumferential lesion of ESCC in some cases. We herein report a case of ESCC in which a complete circumferential lesion was treated with ESD while leaving an island of normal mucosa within it. This case demonstrates that preserving areas of normal mucosa within lesions during complete circumferential ESD is not technically difficult and may be an effective measure for preventing esophageal stricture.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10686731PMC
http://dx.doi.org/10.2169/internalmedicine.1637-23DOI Listing

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