KMID : 0359020090380020080
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Korean Journal of Gastrointestinal Endoscopy 2009 Volume.38 No. 2 p.80 ~ p.84
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A Case of Recurrence after Endoscopic Submucosal Dissection of Esophageal Adenocarcinoma Arising from Barrett¡¯s Esophagus
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Jung Hae-Young
Joo Young-Eun Cho Sung-Bum Hwang Jun-Eul Kim Sung-Kyun Lee Wan-Sik Kim Hyun-Soo Choi Sung-Kyu
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Abstract
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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.
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KEYWORD
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Barrett¡¯s esophagus, Adenocarcinoma, Endoscopic submucosal dissection
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