Korean J Gastrointest Endosc.  2009 Aug;39(2):88-92.

A Case of Endoscopic Submucosal Dissection for Esophageal Adenocarcinoma Arising from Ultrashort-Segment Barrett's Esophagus

Affiliations
  • 1Department of Internal Medicine, Chungnam National University College of Medicine, Daejeon, Korea. jeonghy@cnuh.co.kr
  • 2Department of Pathology, Chungnam National University College of Medicine, Daejeon, Korea.
  • 3Department of Surgery, Chungnam National University College of Medicine, Daejeon, Korea.
  • 4Department of Radiology, Chungnam National University College of Medicine, Daejeon, Korea.

Abstract

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 (> or = 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.

Keyword

Barrett's esophagus; Adenocarcinoma; Endoscopic submucosal dissection
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