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KMID : 0359020130460060643
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Korean Journal of Gastrointestinal Endoscopy
2013 Volume.46 No. 6 p.643 ~ p.646
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Intralesional Steroid Injection to Prevent Stricture after Near-Circumferential Endosopic Submucosal Dissection for Superficial Esophageal Cancer
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Lee Wook-Jin
Jung Hwoon-Yong
Kim Do-Hoon
Lee Jeong-Hoon
Choi Kee-Don
Song Ho-June
Lee Gin-Hyug
Kim Jin-Ho
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Abstract
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Stricture frequently occurs after endoscopic submucosal dissection (ESD) for superficial esophageal carcinoma with near- or whole-circumferential mucosal defects, and post-ESD stricture is difficult to treat and usually requires multiple sessions of endoscopic balloon dilatation. Intralesional steroid injection has previously been used to prevent stricture; however, there have been few experiences with this method after near- or whole-circumferential ESD. We present a case of a single session of intralesional steroid injection performed immediately after near-circumferential ESD to prevent post-ESD stricture. After a follow-up period of 6 months, the patient showed good outcome without dysphagia.
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KEYWORD
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Injections, intralesional, Esophageal stenosis, Endoscopic submucosal dissection, Esophageal neoplasms
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