Esophageal localized muscular defect during endoscopic procedure

  • Takuto Hikichi
    Department of Endoscopy Fukushima Medical University Hospital Fukushima Japan
  • Jun Nakamura
    Department of Endoscopy Fukushima Medical University Hospital Fukushima Japan
  • Tsunetaka Kato
    Department of Endoscopy Fukushima Medical University Hospital Fukushima Japan

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Description

We read Kuribayashi's letter entitled "Possible causes of a focal esophageal muscle defect1) ". In our case2) , EUS and CT were not performed before ESD, but no evidence of diverticulum was found on endoscopy. Except for this paper2) , three reports have described localized muscular defect during ESD3-5) . Nevertheless, no preoperative EUS or CT has been presented. In addition, Kuribayashi described that "If a large muscular defect is either congenital or acquired, it should cause a diverticulum."

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