Self dilation prevents esophageal stenosis after extensive circumferential ESD

Abstract Text Circumferential ESD in the esophagus has a very high rate of stenosis, especially with a significant longitudinal extent of the lesion. No effective preventive measures have so far been described. We demonstrate a case of a woman who learned to introduce a 14mm bougie prior to ESD for a 10cm long squamous cell cancer (T1m2). The ESD would have resulted in a stenosis requiring multiple endoscopic dilations, despite injection of steroids and oral prednison. By starting self dilation 2 days after the ESD, she could tolerate a normal diet and did not need any endoscopic dilations. The first endoscopy was done after 8 weeks for follow-up. We hope to demonstrate the healed esophagus during ESGE days.

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Artikel online veröffentlicht:
14. April 2023