• 43/M patient with symptoms of dyspepsia – tobacco chewer and smoker.
  • OGD Scopy revealed abnormal vascular pattern in the middle third of esophagus at 29cm from incisura. As per KUDO’s pit pattern classification it appears like IPCL – type III. Biopsy was taken from it for HPE; which is suggestive of an intraepithelial lesion – low grade squamous dysplasia.
  • EMR performed with saline adrenaline injection and snare technique.
  • Complete resection of the affected area was confirmed on post resection evaluation of the area.

Take home message:

Patient with risk factors such as tobacco consumption with dysplastic lesions in the esophagus are at very high risk of developing invasive cancers. Timely detection for intraepithelial lesions such as this case, will enable endoscopic curative resection.  Importance of magnification and electronic chromoendoscopy can be appreciated in this case.

Abnormal vascular  pattern  in the middle lower third of esophagus

Abnormal vascular pattern in the middle lower third of esophagus

Biopsy was taken for HPE

Biopsy was taken for HPE

 

 

 

 

 

 

 

 

 

EMR performed with saline adrenaline injection and snare technique

EMR performed with saline adrenaline injection and snare technique

Complete resection of the affected area was confirmed

Complete resection of the affected area was confirmed

Comments are closed.

Post Navigation