The management of gastrointestinal
tumors with decompensated
cirrhosis is extremely challenging. Patients often present with poor basic condition and coagulation function, and
nutritional deficiency. Furthermore, postoperative recovery is difficult and so the majority of patients refuse surgery. The present study reports the case of a 73-year-old man with decompensated
cirrhosis and early
esophageal cancer. At the discretion of the patient and their family, a simultaneous approach was used to treat esophagogastric
varices and perform a mucosal dissection of the early
esophageal cancer via endoscopy. Post-surgery, multiple
polyglycolic acid sheets were attached to the esophageal dissection
wound. At >2 months post-surgery, an endoscopic re-examination of the patient showed that the esophageal mucosa had healed well, and there was no resistance detected via ordinary endoscopy. The main objective of the present study was to highlight the feasibility and safety of endoscopic treatment for patients with decompensated
liver cirrhosis complicated with early
esophageal cancer, and to provide a new treatment strategy for patients at high risk of
esophageal stenosis after endoscopic mucosal dissection.