Successful endoscopic treatment of superficial esophageal cancer in a patient with esophageal variceal bleeding: A case report.

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

World Journal of Clinical Cases Pub Date : 2024-09-26 DOI:10.12998/wjcc.v12.i27.6105

Li Xu, Shan-Shan Chen, Chao Yang, Hai-Jun Cao

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引用次数: 0

Abstract

Background: The coexistence of esophageal variceal bleeding and superficial esophageal cancer (SEC) is relatively rare in clinical practice. Moreover, there have been few reports of SEC overlying esophageal varices (EVs). Herein, we report our successful use of endoscopic submucosal dissection (ESD), esophageal solitary venous dilatation (ESVD), and endoscopic injection sclerotherapy (EIS) to treat a 75-year-old man who was diagnosed with SEC coexisting with esophageal variceal bleeding.

Case summary: A 75-year-old man was admitted to the hospital due to black stool for 4 days. The patient had a history of liver cancer, cirrhosis, and portal hypertension. Endoscopic examination revealed esophageal and gastric varicose veins, as well as esophageal carcinoma in situ. We first treated esophageal variceal bleeding by ESVD and EIS. One week later, ESD treatment was done, and the complete resection of early esophageal cancer was successfully completed via endoscopy. There were no postoperative complications, such as bleeding, infection, or perforation.

Conclusion: The sequential treatment of ESVD, EIS, and ESD is an effective method for treating EVs with early esophageal cancer.

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成功通过内窥镜治疗食管静脉曲张出血患者的浅表食管癌：病例报告。

背景：食管静脉曲张出血和浅表食管癌（SEC）并存的情况在临床上较为罕见。此外，关于食管静脉曲张（EV）并发食管癌的报道也很少。在此，我们报告了我们成功使用内镜粘膜下剥离术（ESD）、食管孤静脉扩张术（ESVD）和内镜注射硬化剂疗法（EIS）治疗一名被诊断为SEC与食管静脉曲张出血并存的75岁男性的病例。病例摘要：一名75岁男性因黑便4天入院。患者有肝癌、肝硬化和门静脉高压病史。内镜检查发现食管和胃静脉曲张，以及食管原位癌。我们首先通过 ESVD 和 EIS 治疗食管静脉曲张出血。一周后，进行了ESD治疗，并通过内镜成功完成了早期食管癌的完全切除。术后未出现出血、感染或穿孔等并发症：结论：ESVD、EIS 和 ESD 的连续治疗是治疗早期食管癌 EVs 的有效方法。

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

World Journal of Clinical Cases Medicine-General Medicine

自引率

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发文量

3384

期刊介绍： The World Journal of Clinical Cases (WJCC) is a high-quality, peer reviewed, open-access journal. The primary task of WJCC is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of clinical cases. In order to promote productive academic communication, the peer review process for the WJCC is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJCC are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in clinical cases.