A Case of Early Esophageal Carcinoma Developed after Endoscopic Injection Sclerotherapy for Esophageal Varices

Shunichi Okushiba, Hiroyuki Katoh, Megumi Goh, Souichirou Kanaya, Mitsuru Dohke, Eiji Shimozawa, Hiroharu Igawa, Fumiji Miyasaka, Shouichi Horita

Second Department of Surgery, Department of Plastic Surgery, Hokkaido University, School of Medicine, Hokkaido Gastroenterology Hospital

A 54-year-old man with liver cirrhosis underwent endoscopic injection sclerotherapy (EIS) in October 1988. Thirty four months later, endoscopic examination showed an irregular red lesion in the thoracic esophagus (Ei). Biopsy revealed squamous cell carcinoma (depth: ep or mm). He had undergone laser coagulation, but he was pointed out recurrence in the same region of the esophagus (Ei) one year later. We performed esophagectomy without thoracotomy, and reconstructed using the gastric tube. As he had portal hypertension and the numerous gastric varices, we performed added operation, which was shunt procedure (short gastric vein-external jugular vein astomosis) to prevent congestion of the gastric tube and rupture of gastric varices in the future.

Key words
esophago-gastric varices esophageal cancer, shunt operation

Reprint requests
Shunichi Okushiba Second Department of Surgery, Hokkaido University, School of Medicine
Kita 14-jo, Nishi 5-chomc, Kita-ku, Sapporo City, 060 JAPAN

Accepted
December 8, 1993

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