Recently, with the assistance of Fujian Provincial Hospital and the Department of Anesthesiology of Shishi General Hospital, the Department of Gastroenterology of the General Hospital successfully carried out the first endoscopic submucosal dissection (ESD) for early esophageal cancer in Shishi City. The development of this technology is the first in Shishi, marking a new level of minimally invasive endoscopy in the gastroenterology department of the hospital.
The patient, Ms. Lin, 58 years old, went to the digestive clinic of the hospital for dysphagia. The results of gastroscope showed that Ms. Lin’s esophagus mucosa was eroded, and the pathology showed high-grade squamous epithelial dysplasia. After detailed inspection and analysis, the doctor considered the patient to be early esophageal cancer, and carefully formulated a treatment plan for the minimally invasive digestive endoscopic treatment—endoscopic submucosal dissection (ESD), which completely removed the lesion without surgery. It lasted for 1 hour, and the operation was successful. The patient’s vital signs were stable after the operation, and there was no complaint of special discomfort.
It is reported that ESD is a minimally invasive treatment method. It refers to the use of special instruments such as high-frequency electrocautery under the endoscope to gradually peel the lesion from the normal submucosa below it, so as to achieve the integrity of the lesion. The purpose of resection is mainly used in the resection of early intramucosal cancer, precancerous lesions and benign mucosal tumors of the digestive tract (stomach, large intestine, esophagus). It has the characteristics of less trauma, less pain, faster recovery, lower cost and shorter hospital stay , to keep the anatomical structure and physiological function of the digestive tract intact to the greatest extent, and has been used as the preferred method for the treatment of early cancer of the digestive tract, with significant advantages.
(Reporter Gao Rongfang Correspondent Du Chenggan)