Retrograde endoscopic submucosal dissection for early thoracic esophageal carcinoma

Yuta Kobayashi; Kazuhiro Nishikawa; Tomofumi Akasaka; Seiya Kato; Takuya Hamakawa; Kei Yamamoto; Noboru Kobayashi; Masatoshi Kitakaze; Sakae Maeda; Mamoru Uemura; Masakazu Miyake; Naoki Hama; Atsushi Miyamoto; Takeshi Kato; Michihiko Miyazaki; Shoji Nakamori; Eiji Mita; Mitsugu Sekimoto; Masayuki Mano; Motohiro Hirao

doi:10.1007/s12328-021-01371-0

Retrograde endoscopic submucosal dissection for early thoracic esophageal carcinoma

Clin J Gastroenterol. 2021 Apr;14(2):434-438. doi: 10.1007/s12328-021-01371-0. Epub 2021 Mar 10.

Authors

Yuta Kobayashi^{1

2}, Kazuhiro Nishikawa¹, Tomofumi Akasaka³, Seiya Kato^{3

4}, Takuya Hamakawa¹, Kei Yamamoto^{1

2}, Noboru Kobayashi^{1

2}, Masatoshi Kitakaze^{1

2}, Sakae Maeda^{1

5}, Mamoru Uemura^{1

2}, Masakazu Miyake¹, Naoki Hama^{1

6}, Atsushi Miyamoto¹, Takeshi Kato¹, Michihiko Miyazaki¹, Shoji Nakamori¹, Eiji Mita³, Mitsugu Sekimoto^{1

7}, Masayuki Mano⁸, Motohiro Hirao⁹

Affiliations

¹ Department of Surgery, National Hospital Organization, Osaka National Hospital, 2-1-14, Hoenzaka, Chuo-ku, Osaka, Osaka, 540-0006, Japan.
² Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, 2-1, Yamadaoka, Suita, Osaka, Japan.
³ Department of Gastroenterology and Hepatology, National Hospital Organization, Osaka National Hospital, 2-1-14, Houenzaka, Chuo-ku, Osaka, Japan.
⁴ Department of Gastroenterology and Hepatology, Graduate School of Medicine, Osaka University, 2-1, Yamadaoka, Suita, Osaka, Japan.
⁵ Department of Surgery, Sakai City Medical Center, 1-1-1, Ebaraji, Sakai, Osaka, Japan.
⁶ Department of Digestive Surgery, Ikeda City Hospital, 3-1-18 Jonan, Ikeda, Osaka, Japan.
⁷ Department of Surgery, Kansai Medical University, 2-3-1, Shinmachi, Hirakata, Osaka, Japan.
⁸ Department of Central Laboratory and Surgical Pathology, National Hospital Organization, Osaka National Hospital, 2-1-14, Houenzaka, Chuo-ku, Osaka, Japan.
⁹ Department of Surgery, National Hospital Organization, Osaka National Hospital, 2-1-14, Hoenzaka, Chuo-ku, Osaka, Osaka, 540-0006, Japan. [email protected].

PMID: 33689125
DOI: 10.1007/s12328-021-01371-0

Abstract

Although the standard treatment for intramucosal esophageal cancer without lymph node metastasis is endoscopic submucosal dissection (ESD), we sometimes encounter patients who are not able to undergo a transoral endoscopic examination. Here, we report a surgical procedure consisting of transgastric retrograde ESD to treat early esophageal cancer (T1a-EP, N0, M0) because of a stricture after hypopharyngeal cancer surgery. This retrograde ESD procedure can be a safe and effective treatment option for early esophageal cancer. This is the first report of a surgical retrograde ESD method for esophageal cancer.

Keywords: Endoscopic submucosal dissection; Esophageal cancer; Esophageal stenosis.

MeSH terms

Endoscopic Mucosal Resection* / adverse effects
Esophageal Neoplasms* / surgery
Humans
Lymphatic Metastasis
Thoracic Neoplasms*
Treatment Outcome