An BQ, Wang CX, Zhang HY, Fu JD. Early esophageal carcinomas in achalasia patient after endoscopic submucosal dissection combined with peroral endoscopic myotomy: A case report. World J Clin Cases 2023; 11(22): 5407-5411 [PMID: 37621585 DOI: 10.12998/wjcc.v11.i22.5407]
Corresponding Author of This Article
Jin-Dong Fu, MM, Doctor, Department of Gastroenterology, People’s Hospital of Rizhao, No. 126 Taian Road, Rizhao 276800, Shandong Province, China. 36943087@qq.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Aug 6, 2023; 11(22): 5407-5411 Published online Aug 6, 2023. doi: 10.12998/wjcc.v11.i22.5407
Early esophageal carcinomas in achalasia patient after endoscopic submucosal dissection combined with peroral endoscopic myotomy: A case report
Bai-Quan An, Chun-Xiao Wang, Hai-Yan Zhang, Jin-Dong Fu
Bai-Quan An, Hai-Yan Zhang, Jin-Dong Fu, Department of Gastroenterology, People’s Hospital of Rizhao, Rizhao 276800, Shandong Province, China
Chun-Xiao Wang, Department of Hematology, People’s Hospital of Rizhao, Rizhao 276800, Shandong Province, China
Author contributions: An BQ collected the data and drafted the manuscript; Wang CX participated in collecting the clinical data; Fu JD and Zhang HY designed the study; and all authors approved the submitted manuscript.
Informed consent statement: The participant provided an informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jin-Dong Fu, MM, Doctor, Department of Gastroenterology, People’s Hospital of Rizhao, No. 126 Taian Road, Rizhao 276800, Shandong Province, China. 36943087@qq.com
Received: May 21, 2023 Peer-review started: May 21, 2023 First decision: June 15, 2023 Revised: June 27, 2023 Accepted: July 17, 2023 Article in press: July 17, 2023 Published online: August 6, 2023 Processing time: 74 Days and 7 Hours
Abstract
BACKGROUND
Achalasia is associated with high risk of esophageal carcinoma. However, the optimal endoscopic surgery for patients with early esophageal carcinoma concomitant with achalasia remains unclear.
CASE SUMMARY
A combination of concurrent endoscopic submucosal dissection (ESD) and modified peroral endoscopic myotomy (POEM) was performed on a 62-year-old male, who presented with multiple early esophageal carcinomas concomitant with achalasia. The patient exhibited an improvement in feeding obstruction, and presented no evidence of disease during the 3-year follow-up.
CONCLUSION
The combination of ESD and POEM is a feasible treatment modality for patients with early esophageal carcinoma concomitant with achalasia.
Core Tip: The present findings suggest that the combination of endoscopic submucosal dissection and peroral endoscopic myotomy is a feasible and effective treatment modality for patients with early esophageal carcinoma. Clinicians should be cautious on the occurrence of early esophageal carcinoma in achalasia patients.
