The third edition of the guidelines for esophageal cancer clinical practice stated that there is no limitation in the circumferential range for endoscopic submucosal dissection (ESD) adaptation. However, the technical difficulty of broad esophageal ESD and the risk of stenosis after surgery are possible challenges encountered.
We have experienced a case of superficial spreading type of esophageal cancer in which complete resection was achieved by circumferential esophageal ESD with the tunnel method. Local steroid injection and oral administration combination therapy was useful for controlling stenosis after ESD.
