| 초단분절 바렛식도에서 발생한 식도 선암의 내시경 점막하 박리술 1예 |
| 고평곤ㆍ정현용ㆍ문희석ㆍ성재규ㆍ송규상*ㆍ노승무†ㆍ조준식‡ㆍ신경숙‡ |
| 충남대학교 의과대학 내과학교실, *병리학교실, †외과학교실, ‡영상의학교실 |
| A Case of Endoscopic Submucosal Dissection for Esophageal Adenocarcinoma Arising from Ultrashort-Segment Barrett's Esophagus |
| Pyung Gohn Goh, M.D., Hyun Yong Jeong, M.D., Hee Seok Moon, M.D., Jae Kyu Sung, M.D., Kyu Sang Song, M.D.*, Seung Moo Noh, M.D.†, June Sik Cho, M.D.‡ and Kyung Sook Shin, M.D.‡ |
| Departments of Internal Medicine, *Pathology, †Surgery and ‡Radiology, Chungnam National University College of Medicine, Daejeon, Korea |
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| Abstract |
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Barrett's esophagus is defined as the replacement of normal squamous epithelium of distal esophagus with specialized columnar epithelium. This condition is considered to be a premalignant lesion of esophageal adenocarcinoma. Barrett's esophagus is classified into long-segment (≥3 cm in length) and short-segment (＜3 cm in length). Detection of the former is more difficult. Adenocarcinomas arising from short-segment Barrett's esophagus are uncommon in Korea. Barrett's adenocarcinoma restricted to the mucosa can be treated by endoscopic mucosectomy. In recent years, endoscopic submucosal dissection for early esophageal cancer has been extensively applied because it is a reliable method to achieve en bloc resection. In this paper, we report a case of esophageal adenocarcinoma arising from ultrashort-segment Barrett's esophagus, which was successfully resected by endoscopic submucosal dissection. (Korean J Gastrointest Endosc 2009;39:88-92) |
| Key Words:
Barrett's esophagus, Adenocarcinoma, Endoscopic submucosal dissection |
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