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KMID : 0359020090390020088
Korean Journal of Gastrointestinal Endoscopy
2009 Volume.39 No. 2 p.88 ~ p.92
A Case of Endoscopic Submucosal Dissection for Esophageal Adenocarcinoma Arising from Ultrashort-Segment Barrett¡¯s Esophagus
Goh Pyung-Gohn

Jeong Hyun-Yong
Moon Hee-Seok
Sung Jae-Kyu
Song Kyu-Sang
Noh Seung-Moo
Cho Jone-Sik
Shin Kyung-Sook
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 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.
KEYWORD
Barrett¡¯s esophagus, Adenocarcinoma, Endoscopic submucosal dissection
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