Combination of concurrent endoscopic submucosal dissection and modified peroral endoscopic myotomy for an achalasia patient with synchronous early esophageal neoplasms

• 作者: Kuangi Fu Sen-Lin Li Sha Shi Xin-Qian Dong Yu-Jing Hao
• 来源期刊: 世界胃肠内镜杂志：英文版（电子版）
• 学科: 医学
• 关键词: ACHALASIA 早食道的瘤 内视镜的 submucosal 解剖 修改 peroral 内视镜的肌切开术
• 年，卷（期）: 2017,（2）
• 页码范围: 99-104
• 页数: 6页
• 分类号: R735.1

摘要

Achalasia is generally accepted as a condition associated with an increased risk for developing esophageal squamous cell carcinoma. In our paper, we introduced an achalasia patient combined with synchronous early esophageal neoplasms. We performed a combination of concurrent endoscopic submucosal dissection(ESD) and peroral endoscopic myotomy(POEM). No complications other than postoperative pain that needed morphine treatment for two days had occurred. Dysphagia was significantly improved. Neither reflux nor cough occurred. The short-term efficacy and safety of our case is favorable and suggests that concurrent ESD and POEM could be a treatment option to such patients.