Esophageal diverticulum exposed during endoscopic submucosal dissection of superficial cancer

World Journal of Gastroenterology : WJG
Shinwa TanakaTakeshi Azuma

Abstract

Endoscopic submucosal dissection (ESD) is now widely accepted as a strategy to treat superficial esophageal neoplasms. The rate of adverse events, such as perforation, has been decreasing with the improvement of devices and techniques. In this paper, we report a case of esophageal cancer that had a diverticulum under cancerous epithelium. The diverticulum was not detected during preoperative examination, and led to perforation during the ESD procedure. Our case shows that, although rare, some diverticula can exist underneath the mucosal surface without obvious depression. If there is any sign of hidden diverticula during ESD, surgeons should proceed with caution or, depending on the case, the procedure should be discontinued to avoid adverse events.

References

May 14, 2004·Digestive Diseases and Sciences·Fernando A M HerbellaJose C Del Grande
Jul 4, 2006·Clinical Imaging·Donna HoghooghiBenjamin M Yeh
Jan 18, 2007·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·B L D M BrücherH J Stein
Dec 3, 2009·Gastrointestinal Endoscopy Clinics of North America·Haruhiro InoueShin-ei Kudo
Mar 30, 2010·General Thoracic and Cardiovascular Surgery·Tsutomu NakamuraMasakazu Yamamoto
Mar 25, 2011·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Kengo TakimotoToshikazu Yoshikawa
Jan 5, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Tatsuhiro GotodaShigeatsu Fujiki
May 21, 2013·World Journal of Gastroenterology : WJG·Noriko NishiyamaTsutomu Masaki

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