A Case of Esophageal Cancer with Esophago-Gastric Varices Treated by Endoscopic Mucosal Resection (EMR) and Balloon-occluded Retrograde Transvenous Obliteration (BRTO)

Abstract

A sixty-six year old man, who had alcoholic liver cirrhosis, was diagnosed as 0-IIb type superficial cancer of the lower esophagus 5cm in diameter and gastric varices (F3) , by follow-up endoscopy. The size of this varices had become larger than on the previous endoscopy. So he was admitted for EMR and BRTO.
We could successfully perform EMR for the esophageal cancer, using hook knife method with repeating hemostasis and submucosal injection.
The pathological findings showed well-differentiated scquamous cell carcinoma and depth of invasion was m1. After EMR, gastric varices were treated by BRTO. BRTO was effective and varices had had reduction in size gradually. 5months after these treatments, no recurrence and no complication such as esophageal stenosis and dysphagia, there were.
We reported a case of the minimal invasive treatment for esophageal cancer with esophago-gastric varices by EMR and BRTO combined therapy.