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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2022; 13(01): 053-054
DOI: 10.1055/s-0040-1721224
Case Report

Successful Treatment of an Early Barrett's Adenocarcinoma in a High-Risk Patient with Portal Hypertension: The “Band and Leave” Strategy

Miguel Fraile-López
1   Department of Gastroenterology, Hospital Universitario Central de Asturias, Oviedo, Spain
2   Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Principado de Asturias, Oviedo, Spain
3   NIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and University of Nottingham, Nottingham, United Kingdom
,
Jacobo Ortiz-Fernández-Sordo
3   NIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and University of Nottingham, Nottingham, United Kingdom
,
Martin James
3   NIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and University of Nottingham, Nottingham, United Kingdom
,
Philip Kaye
3   NIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and University of Nottingham, Nottingham, United Kingdom
,
Krish Ragunath
3   NIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and University of Nottingham, Nottingham, United Kingdom
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Abstract

“Band and leave” strategy has been described for the resection of submucosal tumors of the digestive tract to reduce the complications related to deep submucosal resection such as bleeding and perforation. We present the case of a patient with multiple comorbidities, chronic liver disease, and portal hypertension diagnosed to have T1 adenocarcinoma in Barrett's esophagus overlying a column of varix. This was successfully treated by band ligation and allowing the neoplastic mucosa to slough. We propose this technique as an alternative therapeutic option for the management of early Barrett's neoplasia in such high-risk patients with portal hypertension.

Keywords

Barrett's esophagus - adenocarcinoma - esophageal varices - endoscopic procedures

Authors Contribution

All authors participated in the conception and design of the work.




Publication History

Article published online:
28 December 2020

© 2022. Society of Gastrointestinal Endoscopy of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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