Extraesophageal saline during endoscopic submucosal dissection in a patient with early esophageal squamous cell carcinoma

Jian-Jun Li, Hong Bo Shan, Long Jun He, Guang Yu Luo, Li Ming Chen, Guo-Liang Xu, Yin Li, Rong Zhang

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Saline submucosal injection (SSI) is an indispensable procedure before endoscopic submucosal dissection (ESD) in patients with early esophageal squamous cell carcinoma. Successful SSI should create a saline cushion in the submucosa rather than elsewhere. However, saline outside the esophagus was detected incidentally by endoscopic ultrasonography during ESD in a patient with early esophageal cancer. In this case, saline separated the esophageal adventitia from adjacent tissues, and there were no complications during or after ESD. This finding indicates that it is possible to use interventional extraesophageal saline injection to help differentiate advanced esophageal cancer of Stage T3 from Stage T4 by endoscopic ultrasonography.

Original languageEnglish (US)
Pages (from-to)1843-1845
Number of pages3
JournalAnnals of Thoracic Surgery
Volume98
Issue number5
DOIs
StatePublished - Jan 1 2014

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Endosonography
Esophageal Neoplasms
Injections
Adventitia
Esophagus
Endoscopic Mucosal Resection
Esophageal Squamous Cell Carcinoma

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Extraesophageal saline during endoscopic submucosal dissection in a patient with early esophageal squamous cell carcinoma. / Li, Jian-Jun; Shan, Hong Bo; He, Long Jun; Luo, Guang Yu; Chen, Li Ming; Xu, Guo-Liang; Li, Yin; Zhang, Rong.

In: Annals of Thoracic Surgery, Vol. 98, No. 5, 01.01.2014, p. 1843-1845.

Research output: Contribution to journalArticle

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