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Successful prevention of stenosis after circumferential endoscopic resection of esophageal cancer

Tanaka, Hitoshi Kakushima, Naomi Muroi, Koichi Hirose, Takashi Suzuki, Tomohiko Suzuki, Takahiro Hida, Emiko Hirai, Keiko Shibata, Hiroyuki Ito, Nobuhito Furune, Satoshi Furukawa, Kazuhiro Fujishiro, Mitsuhiro 名古屋大学

2023.02

概要

Endoscopic submucosal dissection (ESD) is widely used to treat early-stage esophageal cancer.1
However, while treating widespread lesions with ESD, post-ESD stenosis is a serious complication.
Endoscopic balloon dilation and steroid administration have been reported to reduce the incidence of
stenosis; however, these preventive measures are not standardized. Moreover, refractory stenosis occurs in cases where circumferential resection of a >5-cm longitudinal mucosal defect is performed.2
We herein report three cases of circumferential ESD of a >5-cm longitudinal mucosal defect
for a widespread lesion, in which stenosis was prevented using a combination of a local steroid
injection and an oral steroid. ...

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参考文献

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Nagoya J. Med. Sci. 85. 134–140, 2023

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doi:10.18999/nagjms.85.1.134

Hitoshi Tanaka et al

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injection of triamcinolone acetonide [in Japanese]. Nihon Naibunpi Gakkai Zasshi. 1970;46(6):654–658.

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References End

Nagoya J. Med. Sci. 85. 134–140, 2023

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doi:10.18999/nagjms.85.1.134

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