Summary
Generally, it is considered technically impossible to perform an extensive mucosal resection of the esophagus using endoscopy. We have developed a new method of endoscopic esophageal mucosal resection using a transparent tube (EMRT). With this technique, any amout and any part of the esophageal mucosa can be safely and easily resected. After an experimental study, EMRT was performed in 11 patients and there were no major complications. Near-total circumferential resection of the mucosa was possible, and the surface of the esophageal muscle layer (non-bleeding resection layer) was left intact. We performed this technique on a patient with a mucosal cancer of the esophagus, and succeeded in resecting the lesion during a short course of treatment. We conclude that EMRT is of value in the endoscopic treatment of early-stage esophageal cancer.
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References
Endo M, Takeshita K, Yoshida M (1986) How can we diagnose the early stage of esophageal cancer? Endoscopic diagnosis. Endoscopy 18: 11–18
Farrokh S (1987) Endoesophageal pull through. Ann Surg 207: 446–454
Inoue H, Nakamura H, Kawano T, Endo M (1989) A case of extensive desquamation of esophageal mucosa due to endoscopic injection sclerotherapy (in Japanese). Gastroenterol Endosc 31: 2134–2137
Inoue H, Nakamura H, Kawano T, Endo M (1989) Endoscopic injection sclerotherapy using a transparent tube under negative pressure control (NP-EIS) (in Japanese). Gastroenterol Endosc 31: 2951–2957
Inoue H, Endo M, Takeshita K (1990) A new method of endoscopic esophageal mucosal resection using a transparent tube (EMRT) (in Japanese). Gastroenterol Endosc 40: 37–42
Japanese Society for Esophageal Diseases (1989) Guidelines for the clinical and pathologic studies on carcinoma of the esophagus, 7th edn. Kanehara, Tokyo
Kawano T, Nakamura H, Inoue H, Endo M (1990) Endoscopic injection sclerotherapy using a transparent overtube with intraluminal negative pressure (np-EIS) for esophageal varices. Surg Endosc 4: 15–17
Murata Y, Muroi M, Yoshida M (1987) Endoscopic ultrasonography in diagnosis of esophageal carcinoma. Surg Endosc 1: 11–16
Turner GG (1936) Carcinoma of the esophagus. The question of its treatment by surgery. Lancet I: 130–134
Werner VS, Fevery J, Broeckaert L, Ponette E, Baert A, Groot JD (1984) Intramural hematoma of the esophagus: unusual complication of variceal sclerotherapy. Gastrointest Radiol 9: 293–295
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Inoue, H., Endo, M. Endoscopic esophageal mucosal resection using a transparent tube. Surg Endosc 4, 198–201 (1990). https://doi.org/10.1007/BF00316791
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DOI: https://doi.org/10.1007/BF00316791