A 79-year-old man was referred to our hospital due to superficial spreading type of esophageal squamous cell carcinoma. Esophagogastoroduodenoscopy showed this lesion needed complete circular ESD which has high risk of esophageal stricture after ESD. To prevent esophageal stricture after ESD, we performed ESD forming minimum mucosal defect, placed polyglycolic acid sheet over the surgical wound after resection, and administered oral prednisolone after ESD. This combination of methods for prevention of stricture after ESD were effective, and this patient had not required endoscopic balloon dilation yet.
A case of superficial spreading type of esophageal cancer resected endoscopically with combination of methods for prevention of stricture.
A 79-year-old man was referred to our hospital due to superficial spreading type of esophageal squamous cell carcinoma. Esophagogastoroduodenoscopy showed this lesion needed complete circular ESD which has high risk of esophageal stricture after ESD. To prevent esophageal stricture after ESD, we performed ESD forming minimum mucosal defect, placed polyglycolic acid sheet over the surgical wound after resection, and administered oral prednisolone after ESD. This combination of methods for prevention of stricture after ESD were effective, and this patient had not required endoscopic balloon dilation yet.
