Extraesophageal saline during endoscopic submucosal dissection in a patient with early esophageal squamous cell carcinoma.
Ann Thorac Surg
; 98(5): 1843-5, 2014 Nov.
Article
em En
| MEDLINE
| ID: mdl-25441804
ABSTRACT
Saline submucosal injection (SSI) is an indispensable procedure before endoscopic submucosal dissection (ESD) in patients with early esophageal squamous cell carcinoma. Successful SSI should create a saline cushion in the submucosa rather than elsewhere. However, saline outside the esophagus was detected incidentally by endoscopic ultrasonography during ESD in a patient with early esophageal cancer. In this case, saline separated the esophageal adventitia from adjacent tissues, and there were no complications during or after ESD. This finding indicates that it is possible to use interventional extraesophageal saline injection to help differentiate advanced esophageal cancer of Stage T3 from Stage T4 by endoscopic ultrasonography.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Esofágicas
/
Carcinoma de Células Escamosas
/
Cloreto de Sódio
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Endossonografia
/
Diagnóstico Precoce
/
Dissecação
/
Extravasamento de Materiais Terapêuticos e Diagnósticos
/
Estadiamento de Neoplasias
Tipo de estudo:
Diagnostic_studies
/
Screening_studies
Limite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
Ann Thorac Surg
Ano de publicação:
2014
Tipo de documento:
Article