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Case Report
Endoscopic Submucosal Dissection Followed by Concurrent Chemoradiotherapy in Patients with Early Esophageal Cancer with a High Risk of Lymph Node Metastasis
Hee Kyung Kim, Weon Jin Ko, Chang-Il Kwon, Ga Won Song, In Kyun Yoo, Ji Hyun Song, Hak Su Kim, Joo Young Cho
Clin Endosc 2019;52(5):502-505.   Published online May 14, 2019
AbstractAbstract PDFPubReaderePub
Endoscopic submucosal dissection is recommended as an alternative therapy for early esophageal cancer. However, achieving curative resection in this procedure remains controversial since precise prediction of lymph node metastasis can be difficult. Here, we present the preliminary results of endoscopic submucosal dissection followed by concurrent chemoradiotherapy for early esophageal cancer with a high risk of lymph node metastasis. From May 2006 to January 2014, six patients underwent concurrent chemoradiotherapy after endoscopic submucosal dissection with a median follow-up period of 63 months. No complications were encountered during concurrent chemoradiotherapy. Although local recurrence did not occur in all patients, two patients were diagnosed with metachronous cancer. Overall, the survival rate was 100%. Thus, endoscopic submucosal dissection followed by concurrent chemoradiotherapy may be a feasible treatment for early esophageal cancer in patients with a high risk of lymph node metastasis. Future prospective large-scale studies are warranted to confirm our results.


Citations to this article as recorded by  
  • Unveiling Therapeutic Targets for Esophageal Cancer: A Comprehensive Review
    Rakesh Acharya, Ananya Mahapatra, Henu Kumar Verma, L. V. K. S. Bhaskar
    Current Oncology.2023; 30(11): 9542.     CrossRef
  • Editorial “Discrepancy Between the Clinical and Final Pathological Findings of Lymph Node Metastasis in Superficial Esophageal Cancer”
    Rian M. Hasson, Joseph D. Phillips
    Annals of Surgical Oncology.2019; 26(9): 2662.     CrossRef
  • 4,378 View
  • 92 Download
  • 1 Web of Science
  • 2 Crossref
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Evaluation and Endoscopic Management of Esophageal Submucosal Tumor
Weon Jin Ko, Ga Won Song, Joo Young Cho
Clin Endosc 2017;50(3):250-253.   Published online November 7, 2016
AbstractAbstract PDFPubReaderePub
Submucosal tumors (SMTs) originate from tissues that constitute the submucosal layer and muscularis propria, and are covered by normal mucosa. Esophageal SMTs are rare, accounting for <1% of all esophageal tumors. However, the recent widespread use of endoscopy has led to a rapid increase in incidental detection of SMTs in Korea. Esophageal SMTs are benign in ≥90% of cases, but the possibility of malignancies such as gastrointestinal stromal tumor and malignant leiomyosarcoma still exists. Therefore, patients undergo resection in the presence of symptoms or the possibility of a malignant tumor. For resection of esophageal SMTs, surgical resection was the only option available in case of possible malignancy, but minimally invasive surgery by endoscopic resection is becoming more preferable to surgical resection with the development of endoscopic ultrasonography, endoscopic techniques, and other devices.


Citations to this article as recorded by  
  • Chest pain in a patient with suicidal history
    Chien-Ming Chiang, Hsueh-Chien Chiang, Jui-Wen Kang
    Frontline Gastroenterology.2024; : flgastro-2023-102617.     CrossRef
  • Cholangiocarcinoma With Rare Esophageal Metastasis
    Mana Matsuoka, Katsumasa Kobayashi, Yukito Okura, Takahito Nozaka, Ayako Sato, Masato Yauchi, Taichi Matsumoto, Yohei Furumoto, Takao Horiuchi, Toru Asano
    ACG Case Reports Journal.2022; 9(1): e00717.     CrossRef
  • Natural History of Asymptomatic Esophageal Subepithelial Tumors of 30 mm or Less in Size
    Seokin Kang, Do Hoon Kim, Yuri Kim, Dongsub Jeon, Hee Kyong Na, Jeong Hoon Lee, Ji Yong Ahn, Kee Wook Jung, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung
    Journal of Korean Medical Science.2022;[Epub]     CrossRef
  • A Submucosal Tumor-like Lesion of the Cervical Esophagus Similar to the Tonsillar Structures of Waldeyer’s Ring: A Case Report
    Shibo Song, Xiaolong Feng, Xudong Liu, Guiqi Wang, Liyan Xue
    Medicina.2022; 58(12): 1804.     CrossRef
  • Clinical study of submucosal tunneling endoscopic resection and endoscopic submucosal dissection in the treatment of submucosal tumor originating from the muscularis propria layer of the esophagus
    Yue Zhang, Jing Wen, Shuxian Zhang, Xuyang Liang, Ling Ren, Lu Wang, Yunliang Sun, Shouying Li, Kun Wang, Shengxiang Lv, Xiao Qiao
    Medicine.2022; 101(51): e32380.     CrossRef
  • Role of endoscopic ultrasound in anticancer therapy: Current evidence and future perspectives
    Andre Bratanic, Dorotea Bozic, Antonio Mestrovic, Dinko Martinovic, Marko Kumric, Tina Ticinovic Kurir, Josko Bozic
    World Journal of Gastrointestinal Oncology.2021; 13(12): 1863.     CrossRef
  • Left atrial appendage thrombus detected by transesophageal examination with linear endoscopic ultrasound
    Kenji Ikezawa, Minoru Shigekawa, Kaoruko Sengoku, Teppei Yoshioka, Ryotaro Sakamori, Yasushi Sakata, Tetsuo Takehara
    Clinical Case Reports.2019; 7(7): 1327.     CrossRef
  • A Potentially Malignant Giant Esophageal Paraganglioma
    Tammi Arbel Rubinstein, Gennady Kouniavsky, Bibi Kanengisser Pines, Efraim Idelevich, Li or Lazar, Amir Elami, Ilan Bar, Guy Pines
    The Annals of Thoracic Surgery.2019; 108(6): e349.     CrossRef
  • Strategy for esophageal non-epithelial tumors based on a retrospective analysis of a single facility
    Tomoaki Aoki, Tetsu Nakamura, Taro Oshikiri, Hiroshi Hasegawa, Masashi Yamamoto, Yoshiko Matsuda, Shingo Kanaji, Kimihiro Yamashita, Takeru Matsuda, Yasuo Sumi, Satoshi Suzuki, Yoshihiro Kakeji
    Esophagus.2018; 15(4): 286.     CrossRef
  • Esophageal Squamous Cell Carcinoma Presenting as a Subepithelial Tumor
    Soon Young Kim, Sang Kil Lee, Hyang Joo Ryu
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2017; 17(3): 144.     CrossRef
  • 7,846 View
  • 271 Download
  • 12 Web of Science
  • 10 Crossref
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Case Reports
Double-Scope Peroral Endoscopic Myotomy (POEM) for Esophageal Achalasia: The First Trial of a New Double-Scope POEM
Hee Jin Hong, Ga Won Song, Weon Jin Ko, Won Hee Kim, Ki Baik Hahm, Sung Pyo Hong, Joo Young Cho
Clin Endosc 2016;49(4):383-386.   Published online March 15, 2016
AbstractAbstract PDFPubReaderePub
With the accumulation of clinical trials demonstrating its efficacy and safety, peroral endoscopic myotomy (POEM) has emerged as a less invasive treatment option for esophageal achalasia compared with laparoscopic Heller myotomy. However, the difficulty in determining the exact extent of myotomy, a critical factor associated with the success and safety of the procedure, remains a limitation. Although the various endoscopic landmarks and ancillary techniques have been applied, none of these has been proven sufficient. As a solution for this limitation, the double-scope POEM technique with a second endoscope to assure the exact length of the submucosal tunnel has been applied since 2014. Before double-scope POEM was introduced, the second endoscope was applied only to confirm the accuracy of the procedure. In the present study, we performed double-scope POEM in the treatment of esophageal achalasia through a novel procedure of simultaneous application of the second endoscope to assist in the conventional POEM procedure.


Citations to this article as recorded by  
  • Peroral Endoscopic Myotomy (POEM) in Children: A State of the Art Review
    Ali A. Mencin, Amrita Sethi, Monique T. Barakat, Diana G. Lerner
    Journal of Pediatric Gastroenterology & Nutrition.2022; 75(3): 231.     CrossRef
  • Per-oral endoscopic myotomy (POEM) for a sigmoid type of achalasia: short-term outcomes and changes in the esophageal angle
    Shota Maruyama, Yusuke Taniyama, Tadashi Sakurai, Makoto Hikage, Chiaki Sato, Kai Takaya, Takuro Konno, Takeshi Naitoh, Michiaki Unno, Takashi Kamei
    Surgical Endoscopy.2020; 34(9): 4124.     CrossRef
  • Characteristics of a Subset of Achalasia With Normal Integrated Relaxation Pressure
    Eunju Kim, In Kyung Yoo, Dong Keon Yon, Joo Young Cho, Sung Pyo Hong
    Journal of Neurogastroenterology and Motility.2020; 26(2): 274.     CrossRef
  • Feasibility of using an led-probe in third-space endoscopy: a clinical study
    Oscar Víctor Hernández Mondragón, Raúl Zamarripa Mottú, Omar Solórzano Pineda, Raúl Alberto Gutierrez Aguilar, Luís Fernando García Contreras
    BMC Gastroenterology.2020;[Epub]     CrossRef
  • 2007–2019: a “Third”-Space Odyssey in the Endoscopic Management of Gastrointestinal Tract Diseases
    Anastassios C. Manolakis, Haruhiro Inoue, Akiko Ueno, Yuto Shimamura
    Current Treatment Options in Gastroenterology.2019; 17(2): 202.     CrossRef
  • Treatment of Achalasia with Per-Oral Endoscopic Myotomy: Analysis of 50 Consecutive Patients
    Erica D. Kane, David J. Desilets, Donna Wilson, Marc Leduc, Vikram Budhraja, John R. Romanelli
    Journal of Laparoendoscopic & Advanced Surgical Techniques.2018; 28(5): 514.     CrossRef
  • Two penetrating vessels as a novel indicator of the appropriate distal end of peroral endoscopic myotomy
    Shinwa Tanaka, Fumiaki Kawara, Takashi Toyonaga, Haruhiro Inoue, Robert Bechara, Namiko Hoshi, Hirohumi Abe, Yoshiko Ohara, Tsukasa Ishida, Yoshinori Morita, Eiji Umegaki
    Digestive Endoscopy.2018; 30(2): 206.     CrossRef
  • 7,747 View
  • 109 Download
  • 9 Web of Science
  • 7 Crossref
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Communicating Tubular Esophageal Duplication Combined with Bronchoesophageal Fistula
Ju Hwan Kim, Chang-Il Kwon, Ji Young Rho, Sang Woo Han, Ji Su Kim, Suk Pyo Shin, Ga Won Song, Ki Baik Hahm
Clin Endosc 2016;49(1):81-85.   Published online January 28, 2016
AbstractAbstract PDFPubReaderePub
Esophageal duplication (ED) is rarely diagnosed in adults and is usually asymptomatic. Especially, ED that is connected to the esophagus through a tubular communication and combined with bronchoesophageal fistula (BEF) is extremely rare and has never been reported in the English literature. This condition is very difficult to diagnose. Although some combinations of several modalities, such as upper gastrointestinal endoscopy, esophagography, computed tomography, magnetic resonance imaging, and endoscopic ultrasonography, can be used for the diagnosis, the results might be inconclusive. Here, we report on a patient with communicating tubular ED that was incidentally diagnosed on the basis of endoscopy and esophagography during the postoperational evaluation of BEF.


Citations to this article as recorded by  
  • Reconstruction of Adult Tubular Esophageal Duplication with Supraclavicular Artery Island Flap: A Rare Case Presentation
    Xin Yang, Zheng Jiang, Jun Liu, Fei Chen
    Ear, Nose & Throat Journal.2023; : 014556132311734.     CrossRef
  • Tubular Duplication of the Esophagus in a Newborn, Treated by Thoracoscopy
    Igor Khvorostov, Alexey Gusev, Abdumanap Alkhasov, Sergey Yatsyk, Elena D'yakonova
    European Journal of Pediatric Surgery Reports.2022; 10(01): e49.     CrossRef
  • Endoscopic septum division of tubular esophageal duplication in two children and systematic review
    Rahşan Özcan, Ali Ekber Hakalmaz, Şenol Emre, Ayşe Karagöz, Çiğdem Tütüncü, Sebuh Kuruğoğlu, Gonca Topuzlu Tekant
    Pediatric Surgery International.2022; 38(11): 1525.     CrossRef
  • Endoscopic management of a tubular esophageal duplication in a young adult
    Pietro Familiari, Rosario Landi, Francesca Mangiola, Camilla Vittoria Vita, Guido Costamagna
    VideoGIE.2020; 5(10): 455.     CrossRef
  • Esophageal duplication and congenital esophageal stenosis
    A. Francois Trappey, Shinjiro Hirose
    Seminars in Pediatric Surgery.2017; 26(2): 78.     CrossRef
  • 10,143 View
  • 91 Download
  • 4 Web of Science
  • 5 Crossref
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