A Case of Recurrence after Endoscopic Submucosal Dissection of Esophageal Adenocarcinoma Arising from Barrett's Esophagus

Korean J Gastrointest Endosc > Volume 38(2); 2009 > Article

Korean Journal of Gastrointestinal Endoscopy 2009;38(2): 80-84.

바렛식도에서 발생한 식도 선암의 점막하박리술 후 재발 1예

정해영ㆍ주영은ㆍ조성범ㆍ황준일ㆍ김성균ㆍ이완식ㆍ김현수ㆍ최성규

전남대학교 의과대학 내과학교실

A Case of Recurrence after Endoscopic Submucosal Dissection of Esophageal Adenocarcinoma Arising from Barrett's Esophagus

Hae Young Jung, M.D., Young Eun Joo, M.D., Sung Bum Cho, M.D., Joon Il Hwang, M.D., Seung Keun Kim, M.D., Wan Sik Lee, M.D., Hyen Soo Kim, M.D. and Sung Kyu Choi, M.D.

Department of Internal Medicine, Chonnam National University Medical School, Hwasun, Korea

Abstract

Surgery is the primary treatment for adenocarcinoma arising from Barrett's esophagus. However, in order to avoid the high risk of complications of surgical resection, many physicians try various endoscopic treatments in cases of early adenocarcinoma and high-grade dysplasia of Barrett's esophagus. Endoscopic submucosal dissection (ESD) is a recently highlighted technique because of its high rate of en bloc resection, but there is controversy about ESD because of the uncertain long-term effect. There is a high risk of local recurrence after endoscopic treatments especially in a long-segment Barrett's esophagus, but there are no reports about this in Korea. This case we report on shows that the early adenocarcinoma arising from a long-segment Barrett's esophagus was curatively removed by ESD, but recurred high-grade dysplasia was detected on the remnant Barrett's esophagus after one year. We report here on a case of recurred esophageal malignancy after successful endoscopic resection of adenocarcinoma from a Barrett's esophagus. (Korean J Gastrointest Endosc 2009;38:80-84)

Key Words: Barrett's esophagus, Adenocarcinoma, Endoscopic submucosal dissection

주요어: 바렛식도, 선암, 점막하박리술