挽救性内镜黏膜下剥离术治疗射频消融术后发生的食管腺癌。
Salvage endoscopic submucosal dissection for esophageal adenocarcinoma arising during radiofrequency ablation.
作者信息
Oumrani Sarra, Barret Maximilien, Beuvon Frédéric, Leblanc Sarah, Chaussade Stanislas, Prat Frédéric
机构信息
Department of Gastroenterology, Cochin Hospital, Assistance Publique-Hôpitaux de Paris (Sarra Oumrani, Maximilien Barret, Sarah Leblanc, Stanislas Chaussade, Frédéric Prat), Paris, France.
Paris-Descartes University (Maximilien Barret, Frédéric Beuvon, Stanislas Chaussade, Frédéric Prat), Paris, France.
出版信息
Ann Gastroenterol. 2018 Jul-Aug;31(4):522-524. doi: 10.20524/aog.2018.0261. Epub 2018 Apr 27.
Radiofrequency ablation is a recommended treatment option for residual Barrett's esophagus after endoscopic resection of a visible lesion. We herein report 3 cases of esophageal adenocarcinoma arising during the course of radiofrequency ablation, all of which were successfully resected by endoscopic submucosal dissection. Partial or suboptimal response to radiofrequency ablation or early recurrence of Barrett's mucosa after radiofrequency ablation should raise suspicion for adenocarcinoma and lead to consideration of en bloc resection by endoscopic submucosal dissection.
对于内镜切除可见病变后残留的巴雷特食管，射频消融是一种推荐的治疗选择。我们在此报告3例在射频消融过程中发生的食管腺癌病例，所有病例均通过内镜黏膜下剥离术成功切除。对射频消融的部分或欠佳反应，或射频消融后巴雷特黏膜的早期复发，应引起对腺癌的怀疑，并促使考虑通过内镜黏膜下剥离术进行整块切除。
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