A case of esophagus ESD with the permanent pacemaker

Abstract

We presented a case of 75 years-old patient with esophageal cancer who underwent the ESD. He had a history of a permanent pacemaker due to sick sinus syndrome. It was said that the remarkable progress in permanent pacemaker made high frequency current decreased, but malfunction of it could affect the patient's life. As it had been said than before, it was necessary to keep a distance between the position of the electrocautery scalpel and the return electrode plate as much as possible. In our case, the distance between the permanent pacemaker and the electrocautery was very close because the treatment site was the esophagus. Therefore, I requested the pacemaker suppliers to change the mode of the permanent pacemaker (DDD → DDI) and then operated the esophageal ESD. We could accomplish safely without malfunction.