Endoscopic submucosal dissection (ESD) is known as a representative therapy for the early esophageal carcinoma, but an underlying varix is an obstacle to perform ESD. Patients with alcoholic cirrhosis may develop esophageal varix and esophageal squamous cell carcinoma at the same time. We report a case of early esophageal squamous cell carcinoma just above the esophageal varix. We performed the combination therapy of variceal banding and ESD. The number of reports about the combination therapy and optimal time to perform variceal banding before ESD is not sufficient.
1Division of Gastroenterology, St. Luke's International Hospital, Tokyo, Japan
Correspondence: Yasutoshi Shiratori, MD, Division of Gastroenterology, St. Luke's International Hospital, 9-1 Akashi-cho Chuo-ku Tokyo, Japan, 104-8340 (firstname.lastname@example.org).
Received April 10, 2019
Accepted June 26, 2019
Online date: August 21, 2019
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