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

Satoshi Kinoshita; Toshihiro Nishizawa; Yasutoshi Ochiai; Ai Fujimoto; Kaoru Takabayashi; Motohiko Kato; Osamu Goto; Tadateru Maehata; Naohisa Yahagi; Toshio Uraoka

doi:10.1055/a-0998-3917

Endoscopy International Open, Table of Contents

CC BY-NC-ND 4.0 · Endoscopy 2020; 08(01): E20-E24
DOI: 10.1055/a-0998-3917

Case report

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

Satoshi Kinoshita

¹Department of Gastroenterology, National Hospital Organization Tokyo Medical Center

²Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine

,

Toshihiro Nishizawa

¹Department of Gastroenterology, National Hospital Organization Tokyo Medical Center

²Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine

³Department of Gastroenterology and Hepatology, International University of Health and Welfare Mita Hospital

,

Yasutoshi Ochiai

²Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine

,

Ai Fujimoto

¹Department of Gastroenterology, National Hospital Organization Tokyo Medical Center

²Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine

,

Kaoru Takabayashi

⁴Center for Diagnostic and Therapeutic Endoscopy, School of Medicine, Keio University, Tokyo, Japan

,

Motohiko Kato

²Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine

,

Osamu Goto

¹Department of Gastroenterology, National Hospital Organization Tokyo Medical Center

⁵Department of Gastroenterology, Nippon Medical School

,

Tadateru Maehata

²Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine

,

Naohisa Yahagi

²Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine

,

Toshio Uraoka

¹Department of Gastroenterology, National Hospital Organization Tokyo Medical Center

⁶Department of Internal Medicine, Division of Gastroenterology and Hepatology, Gunma University, Gunma, Japan

› Author Affiliations

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.

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References

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