An BQ, Wang CX, Zhang HY, Fu JD. Early esophageal carcinomas in achalasia patient after endoscopic submucosal dissection combined with peroral endoscopic myotomy: A case report. World J Clin Cases 2023; 11(22): 5407-5411 [PMID: 37621585 DOI: 10.12998/wjcc.v11.i22.5407]
Corresponding Author of This Article
Jin-Dong Fu, MM, Doctor, Department of Gastroenterology, People’s Hospital of Rizhao, No. 126 Taian Road, Rizhao 276800, Shandong Province, China. 36943087@qq.com
Research Domain of This Article
Gastroenterology & Hepatology
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 Clin Cases. Aug 6, 2023; 11(22): 5407-5411 Published online Aug 6, 2023. doi: 10.12998/wjcc.v11.i22.5407
Early esophageal carcinomas in achalasia patient after endoscopic submucosal dissection combined with peroral endoscopic myotomy: A case report
Bai-Quan An, Chun-Xiao Wang, Hai-Yan Zhang, Jin-Dong Fu
Bai-Quan An, Hai-Yan Zhang, Jin-Dong Fu, Department of Gastroenterology, People’s Hospital of Rizhao, Rizhao 276800, Shandong Province, China
Chun-Xiao Wang, Department of Hematology, People’s Hospital of Rizhao, Rizhao 276800, Shandong Province, China
Author contributions: An BQ collected the data and drafted the manuscript; Wang CX participated in collecting the clinical data; Fu JD and Zhang HY designed the study; and all authors approved the submitted manuscript.
Informed consent statement: The participant provided an informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (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: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jin-Dong Fu, MM, Doctor, Department of Gastroenterology, People’s Hospital of Rizhao, No. 126 Taian Road, Rizhao 276800, Shandong Province, China. 36943087@qq.com
Received: May 21, 2023 Peer-review started: May 21, 2023 First decision: June 15, 2023 Revised: June 27, 2023 Accepted: July 17, 2023 Article in press: July 17, 2023 Published online: August 6, 2023
Abstract
BACKGROUND
Achalasia is associated with high risk of esophageal carcinoma. However, the optimal endoscopic surgery for patients with early esophageal carcinoma concomitant with achalasia remains unclear.
CASE SUMMARY
A combination of concurrent endoscopic submucosal dissection (ESD) and modified peroral endoscopic myotomy (POEM) was performed on a 62-year-old male, who presented with multiple early esophageal carcinomas concomitant with achalasia. The patient exhibited an improvement in feeding obstruction, and presented no evidence of disease during the 3-year follow-up.
CONCLUSION
The combination of ESD and POEM is a feasible treatment modality for patients with early esophageal carcinoma concomitant with achalasia.
Core Tip: The present findings suggest that the combination of endoscopic submucosal dissection and peroral endoscopic myotomy is a feasible and effective treatment modality for patients with early esophageal carcinoma. Clinicians should be cautious on the occurrence of early esophageal carcinoma in achalasia patients.
