Circumferential Endoscopic Submucosal Dissection for Barrett's Esophagus with Multifocal High-Grade Dysplasia
Abstract: A 54-year-old male presented with longstanding history of heartburn and regurgitation. Upper gastrointestinal endoscopy and biopsy performed at the previous center were suggestive of Barrett's esophagus with high-grade dysplasia (HGD). In view of dysplasia with underlying Barrett's esophagus, endoscopic submucosal dissection (ESD) was planned. Multifocal high-grade dysplasia with underlying Barrett's esophagus needs treatment to prevent invasive cancer. Surgery has been the conventional treatment but is associated with morbid complications and mortality. ESD has emerged as a treatment for HGD and superficial adenocarcinoma in Barrett's segment, but circumferential ESD is associated with risk of stricture formation. The present case highlights the role of image-enhanced endoscopy in identifying dysplasia in Barrett's esophagus and minimally invasive endoscopic techniques as an alternative to conventional surgical techniques and prophylactic measures needed to prevent post-ESD complications.
- Standort
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Deutsche Nationalbibliothek Frankfurt am Main
- Umfang
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Online-Ressource
- Sprache
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Englisch
- Erschienen in
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Circumferential Endoscopic Submucosal Dissection for Barrett's Esophagus with Multifocal High-Grade Dysplasia ; volume:15 ; number:04 ; year:2024 ; pages:250-253
Journal of Digestive Endoscopy ; 15, Heft 04 (2024), 250-253
- Beteiligte Personen und Organisationen
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Gupta, Pankaj
Singla, Vikas
Singh, Pankaj
Acharya, Kalpana
Aggarwal, Komal
Soni, Harish
- DOI
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10.1055/s-0044-1791953
- URN
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urn:nbn:de:101:1-2502201018574.713173866427
- Rechteinformation
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Letzte Aktualisierung
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15.08.2025, 07:36 MESZ
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Beteiligte
- Gupta, Pankaj
- Singla, Vikas
- Singh, Pankaj
- Acharya, Kalpana
- Aggarwal, Komal
- Soni, Harish
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