Intralesional Steroid Injection to Prevent Stricture after Near-Circumferential Endosopic Submucosal Dissection for Superficial Esophageal Cancer.
- Author:
Wook Jin LEE
1
;
Hwoon Yong JUNG
;
Do Hoon KIM
;
Jeong Hoon LEE
;
Kee Don CHOI
;
Ho June SONG
;
Gin Hyug LEE
;
Jin Ho KIM
Author Information
1. Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. hyjung@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Injections, intralesional;
Esophageal stenosis;
Endoscopic submucosal dissection;
Esophageal neoplasms
- MeSH:
Constriction, Pathologic*;
Deglutition Disorders;
Dilatation;
Esophageal Neoplasms*;
Esophageal Stenosis;
Follow-Up Studies;
Humans;
Injections, Intralesional
- From:Clinical Endoscopy
2013;46(6):643-646
- CountryRepublic of Korea
- Language:English
-
Abstract:
Stricture frequently occurs after endoscopic submucosal dissection (ESD) for superficial esophageal carcinoma with near- or whole-circumferential mucosal defects, and post-ESD stricture is difficult to treat and usually requires multiple sessions of endoscopic balloon dilatation. Intralesional steroid injection has previously been used to prevent stricture; however, there have been few experiences with this method after near- or whole-circumferential ESD. We present a case of a single session of intralesional steroid injection performed immediately after near-circumferential ESD to prevent post-ESD stricture. After a follow-up period of 6 months, the patient showed good outcome without dysphagia.
