KMID : 0359020090390020088
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Korean Journal of Gastrointestinal Endoscopy 2009 Volume.39 No. 2 p.88 ~ p.92
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A Case of Endoscopic Submucosal Dissection for Esophageal Adenocarcinoma Arising from Ultrashort-Segment Barrett¡¯s Esophagus
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Goh Pyung-Gohn
Jeong Hyun-Yong Moon Hee-Seok Sung Jae-Kyu Song Kyu-Sang Noh Seung-Moo Cho Jone-Sik Shin Kyung-Sook
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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 (> or = 3 cm in length) and short-segment ( <3 cm in length). Detection of the former is more difficult. Adenocarcinomas arising from short-segment Barrettos esophagus are uncommon in Korea. Barrettos 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 Barrettos esophagus, which was successfully resected by endoscopic submucosal dissection.
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KEYWORD
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Barrett¡¯s esophagus, Adenocarcinoma, Endoscopic submucosal dissection
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