Department of Endoscopy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China; Department of Gastroenterology, Kiang Wu Hospital, Macau.
Department of Endoscopy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China.
Clin Res Hepatol Gastroenterol. 2024 May;48(5):102339. doi: 10.1016/j.clinre.2024.102339. Epub 2024 Apr 6.
Esophageal cancer ranked ten of the most common cancers in China. With the advancement of high-quality endoscopy and chromoendoscopic technique, early esophageal cancer can be diagnosed more easily, even combined with esophageal-gastric fundal varices. Endoscopic resection of early esophageal cancer is a minimally invasive treatment method for early esophageal cancer, and endoscopic submucosal dissection (ESD) is one of the standard treatments for early esophageal cancer in view of the risk of bleeding, the patient in this study successfully received ESD treatment after using endoscopic variceal ligation and endoscopic injection of tissue glue and sclerosing agent before ESD surgery. ESD treatment is safe and feasible for early esophageal cancer patients with cirrhosis of esophageal-gastric fundal varices.
食管癌在中国最常见的癌症中排名第十。随着高质量内镜和染色内镜技术的进步,早期食管癌的诊断变得更加容易,甚至可以结合食管胃底静脉曲张进行诊断。内镜下切除早期食管癌是早期食管癌的一种微创治疗方法,而内镜黏膜下剥离术(ESD)是早期食管癌的标准治疗方法之一。鉴于出血风险,该研究中的患者在 ESD 手术前成功接受了内镜套扎和组织胶及硬化剂注射治疗,然后接受了 ESD 治疗。对于食管胃底静脉曲张合并肝硬化的早期食管癌患者,ESD 治疗是安全可行的。