The application of flexible endoscopy techniques successfully removed a large esophageal tumor from the patient.

K Hospital has successfully treated a large esophageal tumor using flexible endoscopy through the third space – a technique that requires highly skilled doctors and endoscopy technicians, along with state-of-the-art equipment.

The patient's tumor was removed by doctors using advanced endoscopic techniques.

A large 50mm esophageal tumor caused the patient to experience prolonged difficulty swallowing, loss of appetite, and fatigue.

Patient Hoang Van T. (40 years old, residing in Quang Ninh ) was admitted to the hospital with persistent difficulty swallowing, loss of appetite, and fatigue. Previously, the patient was diagnosed with a large submucosal tumor in the esophagus, extending down to the body of the stomach, and was scheduled for tumor removal surgery.

Due to the complex nature of the tumor, the patient was admitted to the Surgical Department 1 (K Hospital) and underwent an interdisciplinary consultation involving Surgery, Endoscopy, and Anesthesia and Resuscitation. The goal for this case was to completely remove the tumor while minimizing invasiveness for the patient.

Through examination and endoscopic ultrasound, doctors in the Endoscopy-Functional Examination Department determined that the patient had a large esophageal smooth muscle tumor, measuring 16×50mm, occupying up to 4/5 of the esophageal lumen circumference and extending down to the gastric body, one of the most difficult and complex locations for endoscopic intervention.

After careful consideration, the experts decided to apply the flexible endoscopic intervention method using the third-space intervention technique – a highly advanced technique requiring seamless coordination between the team and state-of-the-art equipment.

The procedure, which lasted approximately 2 hours, was performed under the direct supervision of Dr. Bui Anh Tuyet, Head of the Endoscopy and Functional Examination Department, and Dr. Tran Duc Canh, Deputy Head of the Department. The team successfully dissected and completely removed the tumor, with no complications or adverse events reported after the procedure.

Doctors reported that after the intervention, the patient was alert and able to eat and drink again soon. After two days of monitoring in the hospital, the patient was discharged. Histopathological results confirmed it was a benign leiomyoma.

According to Dr. Bui Anh Tuyet, smooth muscle tumors are the most common type of benign tumor in the submucosal esophageal group, accounting for approximately 60-70%. Most of these tumors are small, slow-growing from the muscular layer of the esophageal wall, and asymptomatic. However, when the tumor grows larger than 40-50mm, patients may experience difficulty swallowing, loss of appetite, and weight loss, requiring surgical intervention. This is a complex case because the tumor spreads within the muscular layer and occupies almost the entire circumference of the esophageal lumen. For endoscopic intervention, the two most dangerous complications to be aware of are bleeding and esophageal perforation.

In fact, to completely remove a large tumor like in patient T.'s case, the risk of esophageal perforation is unavoidable. If not properly controlled, a large perforation can cause air to leak into the mediastinum, compressing the heart and directly threatening the patient's health and life. Therefore, the intervention requires a highly skilled and well-trained endoscopist, along with modern equipment and close coordination between the surgical and anesthesiology/resuscitation teams to handle any unforeseen situations.

Modern endoscopic interventions allow for the complete removal of tumors and early-stage cancers in the digestive tract.

According to Dr. Bui Anh Tuyet, in the past, treating gastrointestinal tumors often involved major surgery, accompanied by numerous risks and postoperative complications. However, with the development of modern endoscopic interventions, endoscopic submucosal dissection has been applied as a minimally invasive method, allowing for the complete removal of tumors and early-stage cancers in the digestive tract, including the esophagus, stomach, and colon, through an oral incision.

The outstanding advantages of this technique are the preservation of the digestive tract, pain reduction, no scarring, few complications, reasonable cost, and rapid recovery time, allowing patients to return to normal life sooner.

According to doctors' recommendations, to detect and treat early gastrointestinal tumors and cancers with minimally invasive interventions, people are encouraged to have regular health checkups and upper gastrointestinal endoscopy, even if they have no symptoms.

People over 40 and those with a family history of gastrointestinal cancer should pay particular attention. If symptoms such as difficulty swallowing, heartburn, abdominal pain, bowel dysfunction, or weight loss occur, people should seek medical attention for early examination and treatment to minimize the risks associated with dangerous diseases like gastrointestinal cancer.

MINH HA

Source: https://nhandan.vn/ung-dung-ky-thuat-noi-soi-ong-mem-cat-thanh-cong-khoi-u-thuc-quan-kich-thuoc-lon-cho-nguoi-benh-post930831.html