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Thin‐endoscope endoscopic submucosal dissection for early esophageal cancer with postoperative stricture
Digestive Endoscopy ( IF 5.0 ) Pub Date : 2019-11-16 , DOI: 10.1111/den.13537
Takashi Muramoto 1 , Eiji Sakai 1 , Ken Ohata 1
Affiliation  

A 68‐YEAR‐OLD MAN was diagnosed with early esophageal cancer after detection of a lesion measuring 15 mm in diameter. The lesion was located close to the postendoscopic submucosal dissection (ESD) scar (Fig. 1a). As a conventional scope could not approach the lesion because of postoperative stricture as a result of hypopharyngeal cancer (Fig. 1b), a thin endoscope was used. Endoscopic resection can be carried out after dilatation for the stricture, but this entails risk of perforation. EG-L580NW7 (Fujifilm, Tokyo, Japan) is a thin-endoscope; length of the distal end and instrument channel are 5.9 and 2.4 mm, respectively. Souten and Raicho (Kaneka Medics, Tokyo, Japan; Fig. 1c,d) are the available cutting and hemostatic devices. The entire procedure is presented in Video S1. Handmade attachment prepared with transparent tape was used. Local injection (needle: 25 G, 3 mm; TOP, Tokyo, Japan) was

中文翻译:

薄型内窥镜黏膜下剥离术治疗早期食管癌术后狭窄

一名 68 岁的男性在检测到直径为 15 毫米的病变后被诊断出患有早期食管癌。病变位于靠近内窥镜黏膜下剥离术 (ESD) 瘢痕处(图 1a)。由于下咽癌术后狭窄(图 1b),传统内窥镜无法接近病灶,因此使用了薄型内窥镜。狭窄处扩张后可进行内镜下切除,但存在穿孔风险。EG-L580NW7(富士胶片,​​日本东京)是一款超薄内窥镜;远端和器械通道的长度分别为 5.9 和 2.4 毫米。Souten 和 Raicho(Kaneka Medics,日本东京;图 1c、d)是可用的切割和止血装置。整个过程在视频 S1 中介绍。使用用透明胶带制作的手工附件。
更新日期:2019-11-16
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