PDF herunterladen
CC BY-NC-ND 4.0 · Endosc Int Open 2020; 08(01): E20-E24
DOI: 10.1055/a-0998-3917
Case report
Owner and Copyright © Georg Thieme Verlag KG 2020

Salvage endoscopic submucosal dissection for incompletely resected esophageal or gastric neoplasms (case series)

Satoshi Kinoshita
1   Department of Gastroenterology, National Hospital Organization Tokyo Medical Center
2   Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine
,
Toshihiro Nishizawa
1   Department of Gastroenterology, National Hospital Organization Tokyo Medical Center
2   Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine
3   Department of Gastroenterology and Hepatology, International University of Health and Welfare Mita Hospital
,
Yasutoshi Ochiai
2   Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine
,
Ai Fujimoto
1   Department of Gastroenterology, National Hospital Organization Tokyo Medical Center
2   Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine
,
Kaoru Takabayashi
4   Center for Diagnostic and Therapeutic Endoscopy, School of Medicine, Keio University, Tokyo, Japan
,
Motohiko Kato
2   Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine
,
Osamu Goto
1   Department of Gastroenterology, National Hospital Organization Tokyo Medical Center
5   Department of Gastroenterology, Nippon Medical School
,
Tadateru Maehata
2   Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine
,
Naohisa Yahagi
2   Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine
,
Toshio Uraoka
1   Department of Gastroenterology, National Hospital Organization Tokyo Medical Center
6   Department of Internal Medicine, Division of Gastroenterology and Hepatology, Gunma University, Gunma, Japan
› Institutsangaben
Weitere Informationen

Publikationsverlauf

submitted 19. Dezember 2018

accepted after revision 11. März 2019

Publikationsdatum:
08. Januar 2020 (online)

Auch verfügbar auf
   Lizenzen und Reprints

Abstract

Background and study aims Given that positive lateral margins indicate possible residual carcinoma, salvage endoscopic submucosal dissection (ESD) should be considered for curative therapy. Presence of submucosal fibrosis, however, makes the procedure difficult to perform. We present our case series to discuss the feasibility of salvage ESD and the timing of the procedure.

Kommentar zu diesem Artikel:

Endoscopy International Open – recently publishedEndoscopy 2020; 52(02): 159-159
DOI: 10.1055/a-1045-6212

 

  • References

  • 1 Kikuchi D, Iizuka T, Hoteya S. et al. Safety and efficacy of secondary endoscopic submucosal dissection for residual gastric carcinoma after primary endoscopic submucosal dissection. Digestion 2012; 86: 288-293
    CrossrefPubMedGoogle Scholar
  • 2 Jung DH, Youn YH, Kim JH. et al. Secondary endoscopic submucosal dissection for locally recurrent or incompletely resected gastric neoplasms. World J Gastroenterol 2018; 24: 3776-3785
    CrossrefPubMedGoogle Scholar
  • 3 Nishizawa T, Yahagi N. Endoscopic mucosal resection and endoscopic submucosal dissection: technique and new directions. Curr Opin Gastroenterol 2017; 33: 315-319
    CrossrefPubMedGoogle Scholar
  • 4 Kim EK, Han DS, Ro Y. et al. The submucosal fibrosis: what does it mean for colorectal endoscopic submucosal dissection?. Intest Res 2016; 14: 358-364
    CrossrefPubMedGoogle Scholar
  • 5 Wen J, Linghu E, Yang Y. et al. Relevant risk factors and prognostic impact of positive resection margins after endoscopic submucosal dissection of superficial esophageal squamous cell neoplasia. Surg Endosc 2014; 28: 1653-1659
    CrossrefPubMedGoogle Scholar
  • 6 Kakushima N, Ono H, Tanaka M. et al. Factors related to lateral margin positivity for cancer in gastric specimens of endoscopic submucosal dissection. Dig Endosc 2011; 23: 227-232
    CrossrefPubMedGoogle Scholar
  • 7 Sekiguchi M, Suzuki H, Oda I. et al. Risk of recurrent gastric cancer after endoscopic resection with a positive lateral margin. Endoscopy 2014; 46: 273-278
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 8 Jeong JY, Oh YH, Yu YH. et al. Does submucosal fibrosis affect the results of endoscopic submucosal dissection of early gastric tumors?. Gastrointest Endosc 2012; 76: 59-66
    CrossrefPubMedGoogle Scholar
  • 9 Sato K, Ito S, Kitagawa T. et al. Factors affecting the technical difficulty and clinical outcome of endoscopic submucosal dissection for colorectal tumors. Surg Endosc 2014; 28: 2959-2965
    CrossrefPubMedGoogle Scholar
  • 10 Han KS, Sohn DK, Choi DH. et al. Prolongation of the period between biopsy and EMR can influence the nonlifting sign in endoscopically resectable colorectal cancers. Gastrointest Endosc 2008; 67: 97-102
    CrossrefPubMedGoogle Scholar