Endoscopic Submucosal Dissection: A Safe and Effective Alternative to Surgical Intervention for Esophageal Hemangioma.

IF 1.1 4区医学 Q3 SURGERY

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques Pub Date : 2024-04-01 DOI:10.1097/SLE.0000000000001266

Lu Zhongsheng, Dou Yan, Reem Ezzat, Mu Chen, Yuan Jing, Mohamed El-Kassas, Ahmed Tawheed, Ahmad Madkour

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引用次数: 0

Abstract

Background: Hemangiomas represent 3% of all benign esophageal tumors. Conventional esophagectomy is the standard treatment with its invasive nature and possible surgical complications. Now, less invasive techniques are used with better results. Endoscopic submucosal dissection (ESD) is one of the novel noninvasive methods used for en bloc removal of tumors. No available data about the use of ESD in removing esophageal hemangioma. Here, we studied the validity and safety of ESD as a minimally invasive procedure to remove esophageal hemangioma.

Methods: Three patients were diagnosed with esophageal hemangioma and underwent ESD with en bloc resection. Endoscopic ultrasound (EUS) was performed before ESD to better evaluate the layer of origin and vascularity and guard against perforation. Patients were followed up postintervention to document possible complications.

Results: Among the 3 studied patients, one presented with chronic abdominal pain, the second was complaining of dysphagia, and the third patient was diagnosed accidentally. Pathology reports confirmed the diagnosis of hemangiomas in all cases with no atypia and complete removal of the lesions. No complications were reported during the procedure or over the follow-up period.

Conclusions: ESD is a proper, minimally invasive method with good en bloc resection that can be used in cases of esophageal hemangiomas.

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内镜粘膜下剥离术：食管血管瘤手术干预的安全有效替代方案

背景：血管瘤占所有食管良性肿瘤的 3%。传统的食管切除术是标准的治疗方法，但其创伤性大，可能出现手术并发症。现在，微创技术的应用取得了更好的效果。内镜黏膜下剥离术（ESD）是用于整体切除肿瘤的新型无创方法之一。目前还没有关于ESD用于切除食管血管瘤的数据。在此，我们研究了ESD作为微创手术切除食管血管瘤的有效性和安全性：方法：三名患者被确诊为食管血管瘤，接受了ESD全切术。ESD术前进行了内窥镜超声检查（EUS），以更好地评估起源层和血管情况，防止穿孔。干预后对患者进行随访，记录可能出现的并发症：在研究的 3 名患者中，一名患者出现慢性腹痛，第二名患者主诉吞咽困难，第三名患者被意外确诊。病理报告确诊所有病例均为血管瘤，且无不典型性，病灶完全切除。手术期间和随访期间均未报告并发症：ESD是一种适当的微创方法，可用于食管血管瘤病例，具有良好的整体切除效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 医学-外科

CiteScore

2.00

自引率

10.00%

发文量

103

审稿时长

3-8 weeks

期刊介绍： Surgical Laparoscopy Endoscopy & Percutaneous Techniques is a primary source for peer-reviewed, original articles on the newest techniques and applications in operative laparoscopy and endoscopy. Its Editorial Board includes many of the surgeons who pioneered the use of these revolutionary techniques. The journal provides complete, timely, accurate, practical coverage of laparoscopic and endoscopic techniques and procedures; current clinical and basic science research; preoperative and postoperative patient management; complications in laparoscopic and endoscopic surgery; and new developments in instrumentation and technology.