[Carcinoma of the gastroesophageal junction following variceal sclerosis: more than a coincidence?].
In the last decade, several cases of patients with esophageal varices treated with endoscopic sclerotherapy who posteriorly developed carcinoma of the gastroesophageal junction have been reported in the literature. This may only be a coincidence, although the existence of an undemonstrated relationship direct cannot be discarded. The case of a patient diagnosed with alcoholic liver cirrhosis with portal hypertension and esophageal varices who underwent several sessions of endoscopic sclerotherapy with ethanolamine oleate is presented. During follow-up dysphagia was observed due to adenocarcinoma of the lower third of the esophagus. Carcinoma of the esophagus should be taken into account as a rare diagnostic possibility in a patient with dysphagia of recent appearance with a history of esophageal varix sclerotherapy.
Larrubia
J R
JR
Servicio de Aparato Digestivo, Hospital Universitario San Carlos, Madrid.
Mendoza
J L
JL
Cigüenza
R
R
Lana
R
R
González
J F
JF
Espinós
D
D
D000230:Adenocarcinoma / Q000209:etiology* / Q000473:pathology; D000368:Aged; D001706:Biopsy; D004938:Esophageal Neoplasms / Q000209:etiology* / Q000473:pathology; D004940:Esophageal Stenosis / Q000209:etiology / Q000628:therapy; D004932:Esophageal and Gastric Varices / Q000628:therapy*; D004943:Esophagogastric Junction; D004947:Esophagus / Q000473:pathology; D006801:Humans; D008297:Male; D009829:Oleic Acids / Q000627:therapeutic use; D019919:Prosthesis Implantation; D012597:Sclerosing Solutions / Q000627:therapeutic use; D015911:Sclerotherapy / Q000009:adverse effects*; D013997:Time Factors
D009829:Oleic Acids; D012597:Sclerosing Solutions; C033343:ethanolamine oleate
Carcinoma de la unión gastroesofágica tras esclerosis de varices: algo más que una casualidad?