Mediastinoscopy-Assisted Esophagectomy as an Effective Treatment for IgG4-Related Esophageal Stenosis: A Case Report
This case underscores that IgG4-RD should be considered in the differential diagnosis of refractory esophageal stenosis, even with initially inconclusive biopsies. While serum IgG4 measurement has low sensitivity, it is still recommended. For benign esophageal stenosis of unclear etiology, particularly in patients with significant comorbidities, MAE can be a useful and potentially curative surgical option, offering symptom resolution and the possibility of a drug-free outcome.
Authors
- Takehito Yamamoto (ORCID: https://orcid.org/0000-0002-2236-7124)
- Masahiro Maeda (ORCID: https://orcid.org/0000-0002-9086-7657)
- Keiko Kasahara
- Mitsuhiro Nikaido (ORCID: https://orcid.org/0000-0002-7675-0495)
- Ryosuke Okamura (ORCID: https://orcid.org/0000-0001-7352-8621)
- Shigeo Hisamori (ORCID: https://orcid.org/0000-0003-0163-6978)
- Shigeru Tsunoda (ORCID: https://orcid.org/0000-0003-1468-7352)
- Yuki Teramoto (ORCID: https://orcid.org/0000-0002-8620-0710)
- Yoshiro Itatani (ORCID: https://orcid.org/0000-0001-7356-7065)
- Masazumi Sakaguchi (ORCID: https://orcid.org/0000-0002-3885-2503)
- Kazutaka Obama (ORCID: https://orcid.org/0000-0003-2924-6701)
- Shintaro Okumura (ORCID: https://orcid.org/0000-0002-6503-9040)
- Ryuhei Aoyama (ORCID: https://orcid.org/0000-0002-0402-4232)
- Koya Hida
- Nobuaki Hoshino (ORCID: https://orcid.org/0000-0002-7171-8971)
- Shoichi Kitano
- Masahiro Hara (ORCID: https://orcid.org/0000-0001-9748-8011)
- Takashi Sakamoto (ORCID: https://orcid.org/0000-0002-4518-3993)
- Kohei Ueno (ORCID: https://orcid.org/0000-0002-0870-2950)
- Yu Yoshida (ORCID: https://orcid.org/0009-0004-5235-6727)
Institutions
- Kyoto University (JP)
- Tenri Hospital (JP)
Publication Details
- Journal
- Surgical Case Reports
- Published
- 2025-01-01
- DOI
- https://doi.org/10.70352/scrj.cr.25-0346
- Citations
- 2
- Primary Topic
- Esophageal and GI Pathology
- Type
- article
- Field-Weighted Citation Impact
- 4.01