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a hepatologie

Gastroenterology and Hepatology

Gastroent Hepatol 2013; 67(4): 271-274.

Successful endoscopic treatment of macroscopically advanced esophageal adenocarcinoma in a high-risk patient

Zuzana Vacková  1, Magdalena Stefanová  2, Inna Tučková  3, Alexandr Pazdro  4, Milan Smejkal  4, Milada Zemanová  5, Julius Špičák  1, Jan Martínek  1,6

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Combination of endoscopic mucosal resection (orsubmucosal dissection) with radiofrequency ablation is a method of choice for treatment of early esophageal neoplasia. Endoscopic therapy should be preferred for management of patients with intramucosal neoplasia. However, endoscopic treatment should also be considered in patients with more advanced lesions (e.g. superficial submucosal cancer), particularly in those where surgery is an unacceptable risk or contraindicated due to severe comorbidities. We present a case of a successful endoscopic treatment of macroscopically, as well as histologically, advanced esophageal adenocarcinoma in a patient with liver cirrhosis Child-Pugh B. Endoscopic therapy consisted of two sessions of endoscopic mucosal resection and two sessions of radiofrequency ablation.


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