Refractory esophageal stenosis after endoscopic submucosal dissection for esophageal cancer managed with multiple dilations: A case report

Table 1 Patient’s surgical history

Time	Interventions	Results
June 15, 2023	Pyriform sinus cancer resection + vertical hemilaryngectomy and laryngeal function reconstruction + right neck lymph node dissection + tracheotomy	Discharge
August 4, 2023	Painless endoscopic ultrasound + painless gastroscopy + endoscopic submucosal dissection	Discharge
September 6, 2023	Esophageal dilation via endoscopy + nutritional tube placement	Discharge
December 1, 2023	Painless gastroscopy + esophageal dilation + nutritional tube placement	Discharge
January 26, 2024	Painless gastroscopy + esophageal dilation + nutritional tube placement	Discharge
March 22, 2024	Painless gastroscopy + esophageal dilation + nutritional tube placement	Discharge
April 30, 2024	Painless gastroscopy + esophageal dilation + nutritional tube placement	Discharge
June 5, 2024	Painless gastroscopy + esophageal dilation + nutritional tube placement	Discharge
July 22, 2024	Esophageal dilation via endoscopy + gastric tube placement	Discharge
August 29, 2024	Esophageal dilation via endoscopy + three-lumen double-cystic tube placement	Discharge
October 23, 2024	Esophageal dilation via endoscopy + gastric tube placement	Discharge

Table 2 Self-help balloon dilation record for esophageal stenosis

Date/dilation time	8:00	13:00	18:00	Before sleep	Recommended gas volume (mL)	Discomfort
September 4, 2024	Completed	Completed	Completed	Completed	35	Discomfort and pain in the throat and pharynx
September 5, 2024	Completed	Completed	Completed	Completed	35	Discomfort and pain in the throat and pharynx
September 6, 2024	Completed	Completed	Completed	Completed	35	Discomfort and pain in the nasal ala and pharynx
September 7, 2024	Completed	Completed	Completed	Completed	35	Discomfort and pain in the nasal ala and pharynx
September 8, 2024	Completed	Completed	Completed	Incomplete	35	Discomfort and pain in the nasal ala and pharynx
September 9, 2024	Completed	Completed	Completed	Completed	35	Discomfort and pain in the nasal ala and pharynx
September 10, 2024	Completed	Completed	Completed	Completed	35	Discomfort and pain in the nasal ala and pharynx
September 11, 2024	Completed	Completed	Completed	Incomplete	35	Discomfort and pain in the nasal ala and pharynx
September 12, 2024	Completed	Completed	Completed	Incomplete	35	Discomfort and pain in the nasal ala and pharynx

Table 3 Comparison of the patient’s quality of life before and after intervention

Time	QLQ-C30				QLQ-OES18
	Functional dimension	Symptom dimension	Overall health status	Functional dimension	Symptom dimension
Before intervention	33.3	33.33	50	22.33	48.90
6 months after follow-up	50	23	66.67	33.33	42.23

QLQ-C30: The Core Quality Of Life Questionnaire; QLQ-OES18: The Quality Of Life Questionnaire-Oesophageal Cancer 18.