Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Japan.
Rev Esp Enferm Dig. 2024 Sep;116(9):495-497. doi: 10.17235/reed.2023.9461/2023.
In endoscopic submucosal dissection (ESD) for esophageal squamous cell carcinoma (ESCC) beyond the stricture, balloon dilation is commonly performed until a conventional endoscope with a distal attachment may pass through. We herein present a case of ESCC with anastomotic stenosis after pharyngolaryngoesophagectomy that underwent ESD using an ultrathin endoscope. The ultrathin endoscope does not require balloon dilation, and the transparent hood mounted at the distal end of the ultrathin endoscope allows for a more rapid approach to the submucosa than a conventional endoscope. Therefore, ESD with an ultrathin endoscope is a useful endoscopic treatment option for ESCC with stricture.
在超出狭窄范围的食管鳞状细胞癌（ESCC）的内镜黏膜下剥离术（ESD）中，通常会进行球囊扩张，直到带有远端附件的传统内镜可以通过为止。我们在此介绍了一例在咽、喉、食管切除术后吻合口狭窄的 ESCC 病例，该病例使用超细内镜进行了 ESD。超细内镜不需要球囊扩张，并且安装在超细内镜远端的透明罩允许比传统内镜更快地进入黏膜下层。因此，对于有狭窄的 ESCC，使用超细内镜进行 ESD 是一种有用的内镜治疗选择。
