Combined treatment of refractory benign stricture after esophageal endoscopic mucosal dissection:A case report  

作　　者：Wen-Feng Pu Tao Zhang Zong-Han Du 

机构地区：[1]Department of Gastroenterology,Nanchong Central Hospital,The Second Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,Sichuan Province,China

出　　处：《World Journal of Clinical Cases》2023年第5期1158-1164,共7页世界临床病例杂志

基　　金：Supported by The Sichuan Medical Association Digestive Endoscopy Special Committee Special Topic,China,No.2021XHNJ05。

摘　　要：BACKGROUND Endoscopic submucosal dissection(ESD)post-procedure stricture is a relatively common long-term complication following ESD treatment.A range of approaches has been implemented for the treatment of post-procedural stricture using endoscopic techniques such as endoscopic dilation,self-expandable metallic stent insertion,local steroid injection in the esophagus,oral steroid administration,radial incision and cutting(RIC).The actual efficacy of these different therapeutic options is highly variable,and uniform international standards for the prevention or treatment of stricture.CASE SUMMARY In this report,we describe the case of a 51-year-old male diagnosed with early esophageal cancer.To protect against esophageal stricture,the patient was administered oral steroids and underwent self-expandable metallic stent insertion for 45 d.Despite these interventions,stricture was detected at the lower edge of the stent following its removal.The patient remained refractory to multiple rounds of endoscopic bougie dilation treatment,and thus suffered from complex refractory benign esophageal stricture.As such,RIC combined with bougie dilation and steroid injection was employed to treat this patient more effectively,ultimately achieving satisfactory therapeutic efficacy.CONCLUSION Combination of RIC,dilation,and steroid injection can be safely and effectively implemented to treat cases of post-ESD refractory esophageal stricture.

关 键 词：Endoscopic submucosal dissection Radial incision and cutting Benign stricture Early esophageal cancer Stent insertion Case report 

分 类 号：R735.1[医药卫生—肿瘤]