Complete resection of an esophageal tubular duplication with high grade squamous intraepithelial neoplasia by endoscopic submucosal dissection

Abstract

▶ Fig. 2 A schematic diagram illustrating the pathological anatomy of the patient's esophageal tubular duplication.▶ Fig. 3 Endoscopic view of the cut and opened annular muscularis propria of the esophageal tubular duplication (approximately 1 cm wide), showing the tubular structure.▶ Fig. 4 Postoperative histopathological appearance showing esophageal squamous intraepithelial neoplasia (high grade dysplasia).

Supraclavicular artery island flap for postoperative esophageal defect reconstruction in a tubular esophageal duplication adult: A case report

“…There are 3 main types of ED: Cystic, diverticular and tubular. Cystic ED is the most common type while tubular ED accounts for around 23% of all cases 7 . Tubular ED usually connects to the esophagus in one end or both ends, they also share a part of esophageal wall with the esophagus.…”

“…Differential diagnosis include 3rd, 4th branchial cleft abnormalities which usually occur in the similar location with ED (Branchial cleft abnormalities generally don't share the septal wall with esophagus, and in most cases, it's not connected to the esophagus). The treatment of choice is open surgical excision 12 , some researchers also suggested endoscopic surgery as the surgical method of choice but the indication or contraindication remain to be determined 7 .…”

“…Esophageal duplication (ED) accounts for 20% of all congenital gastrointestinal tract malformation 11 , pathogenesis is due to incomplete vacuolization during embryogenesis's fth to eighth week and migration into the esophageal wall. The most common site of ED is thoracic or abdominal esophagus, usually accompanied by esophageal stricture, tracheoesophageal stula or even esophageal cancer 7 .…”

“…Esophageal duplication (ED) is a rare congenital anomaly in clinical settings with an estimated incidence of 0.0122% 1 Esophageal duplication is primarily diagnosed in early childhood, so, the adult esophageal duplication is rarely seen in clinical settings 3 . Adult tubular esophageal duplication has only been reported in very few cases 2,6,7 . Patients with ED can present with odynophagia, dysphagia, chest pain or sometimes pneumonia.…”

“…Patients with ED can present with odynophagia, dysphagia, chest pain or sometimes pneumonia. Esophageal lipiodolography or gastroscopy are the tests of choice and open surgery or endoscopic surgery are the treatments of choice [4][5][6][7] . The supraclavicular artery island (SAI) ap has been used for various defect reconstruction surgeries since 1979 when it was rst reported 8-10 , The SAI ap is easy to harvest and has shown good reliability in surgical reconstruction.…”