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Circumferential Long Segment Esophageal ESD for Intramucosal Esophageal Cancer in a Background of Barrett's: Oncologic Outcomes vs Postoperative Stricture
Ahmed Sharata^*, Keerti Pally, Ashwin A. Kurian
General Surgery, Denver Esophageal and Stomach Surgery, Englewood, CO

We present a 59 year old male with multifocal esophageal intramucosal cancer in a background of Barrett’s esophagus. He underwent a long segment circumferential esophageal mucosal resection. A biologic matrix was applied to the intraluminal aspect of the esophagus post-resection to aid epithelialization reduce structuring.
Patients should to be counseled on the need for multiple endoscopic procedures and close oncologic follow up postoperatively. Multiple modalities including antireflux surgery may be required in the management of strictures that develop in the postoperative period.

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