Shi S, Fu K, Dong XQ, Hao YJ, Li SL. Combination of concurrent endoscopic submucosal dissection and modified peroral endoscopic myotomy for an achalasia patient with synchronous early esophageal neoplasms. World J Gastrointest Endosc 2017; 9(2): 99-104 [PMID: 28250904 DOI: 10.4253/wjge.v9.i2.99]
Corresponding Author of This Article
Dr. Sen-Lin Li, Department of Gastroenterology, Liaocheng People’s Hospital, No. 67 West Dongchang Road, Liaocheng 252000, Shandong Province, China. lisenlin6201@163.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Endosc. Feb 16, 2017; 9(2): 99-104 Published online Feb 16, 2017. doi: 10.4253/wjge.v9.i2.99
Combination of concurrent endoscopic submucosal dissection and modified peroral endoscopic myotomy for an achalasia patient with synchronous early esophageal neoplasms
Sha Shi, Kuangi Fu, Xin-Qian Dong, Yu-Jing Hao, Sen-Lin Li
Sha Shi, Xin-Qian Dong, Yu-Jing Hao, Sen-Lin Li, Department of Gastroenterology, Liaocheng People’s Hospital, Liaocheng 252000, Shandong Province, China
Kuangi Fu, Department of Gastroenterology, Kanma Memorial Hospital, Tochigi 325-0046, Japan
Author contributions: All authors contributed to the manuscript.
Institutional review board statement: This study was reviewed and approved by Liaocheng People’s Hospital Institutional Review Board.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: No potential conflicts of interest relevant to this article were reported.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Sen-Lin Li, Department of Gastroenterology, Liaocheng People’s Hospital, No. 67 West Dongchang Road, Liaocheng 252000, Shandong Province, China. lisenlin6201@163.com
Telephone: +86-635-8277306 Fax: +86-635-8277306
Received: October 4, 2016 Peer-review started: October 7, 2016 First decision: November 10, 2016 Revised: December 5, 2016 Accepted: January 2, 2017 Article in press: January 3, 2016 Published online: February 16, 2017
Abstract
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.
Core tip: Achalasia is generally accepted as a condition associated with an increased risk for esophageal squamous cell carcinoma. However, cases of multiple synchronous neoplastic lesions in an achalasia patient had been rarely reported. In this paper, we performed a combination of concurrent endoscopic submucosal dissection (ESD) and peroral endoscopic myotomy (POEM) on one patient suffering from esophageal achalasia for more than six years and esophageal neoplasia lesions for one month. The short-term efficacy and safety of our case is favorable and it suggests that concurrent ESD and POEM could be an option of treatment to this kind of patients.
