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The use of esophageal self-expanding metal stents (SEMSs) has been shown to be advantageous in the setting of malignant dysphagia; they are commonly used for esophageal obstruction and fistulas.
Endoscopic bariatric therapies provide an effective and minimally invasive approach to obesity that augments the available treatment options beyond surgery, medication, and lifestyle modifications.
Periampullary diverticulum is a common anatomical alteration around the papilla (6%-31% of native papillae). Its prevalence increases with age, with reported rates as high as 65% in older people.
Endoscopic submucosal dissection (ESD) provides an endoscopic treatment option for esophageal cancers limited to the mucosa and submucosa. However, ESD is high-risk in patients with cirrhosis, owing to associated coagulopathy, thrombocytopenia, and portal hypertension, which increases risk for bleeding and life-threatening decompensation. Particularly troublesome in esophageal ESD are esophageal varices.
Gastrointestinal bleeding is a common emergent condition, accounting for 7% to 8% of acute medical admissions. In the United States, upper GI bleeding (UGIB) leads to an average of 300,000 admissions per year and has a mortality rate that ranges from 2% to 15%.
The formation of an intestinal stoma for fecal diversion is one of the most frequent interventions for the palliation in intestinal obstruction from colon cancer in inoperable patients.
We present a case of a 77-year-old man who underwent endoscopic submucosal dissection of a tumor in the upper esophageal sphincter and piriform sinus for a poorly differentiated squamous cell carcinoma.