Esophageal Motility after Extensive Circumferential Endoscopic Submucosal Dissection for Superficial Esophageal Cancer

• DOI: 10.1159/000487751
• Publication Date: 2018-06-05T21:02:03Z
• Authors: Yasutaka Kuribayashi; Toshiro Iizuka; Kosuke Nomura; Tsukasa Furuhata; Satoshi Yamashita; Akira Matsui; Daisuke Kikuchi; Toshifumi Mitani; Mitsuru Kaise; Shu Hoteya
• Keywords: Esophageal stricture; Esophageal motility disorder; Esophageal spasm; Esophageal disease

Endoscopic submucosal dissection (ESD) for superficial esophageal cancer is sometimes extensive, and in our experience, patients not infrequently present with dysphagia after ESD even the absence of stricture. The aim this study was to evaluate motility using high-resolution manometry (HRM) without extensive circumferential ESD.HRM performed a total 52 who had undergone mucosal defect exceeded more than two-thirds circumference. frequency type dysmotility relationship between were evaluated.Esophageal observed 13 (25%): jackhammer esophagus 4, esophagogastric junction outflow obstruction absent contractility 2, distal spasm, ineffective motility, fragmented peristalsis 1 patient each. Of 22 ESD, 9 (41%) dysmotility. 30 4 (13%) significant (p = 0.025).Esophageal exists approximately one-quarter which associated