[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-446476-105":59,"doc-detail-446476-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","acute-aortic-syndromes-after-esophageal-endoscopic-submucosal-dissection","Acute aortic syndromes after esophageal endoscopic submucosal dissection","","Background: Endoscopic submucosal dissection (ESD) is established for early esophageal cancer, yet perforation, bleeding, and stricture remain key complications, while acute aortic syndromes (AAS) after ESD are rarely reported. Case presentation: A previously healthy 66-year-old woman developed sudden chest pain seven hours after esophageal ESD, and urgent CT suggested an aortic intramural hematoma (IMH). After symptomatic supportive care in vascular surgery, she stabilized and was discharged. Follow-up at three and six months confirmed stable aortic findings. Conclusions: The case highlights a potential association between esophageal ESD and AAS and reviews related major ESD complications.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/acute-aortic-syndromes-after-esophageal-endoscopic-submucosal-dissection/446476/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/acute-aortic-syndromes-after-esophageal-endoscopic-submucosal-dissection/446476.png","ImageObject",300,407,{"name":92,"@type":93},"Stanford","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the main purpose of endoscopic submucosal dissection (ESD) in early esophageal cancer?","Question",{"text":112,"@type":113},"ESD is used as a primary therapeutic approach for early esophageal cancer. Its major recognized complications include perforation, bleeding, and stricture.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What acute aortic syndrome occurred after ESD in this case?",{"text":117,"@type":113},"Seven hours after the procedure, the patient developed sudden chest pain and CT suggested an aortic intramural hematoma (IMH).",{"name":119,"@type":110,"acceptedAnswer":120},"How did the patient’s condition progress after transfer and follow-up?",{"text":121,"@type":113},"After transfer to vascular surgery for symptomatic supportive treatment, her condition stabilized and she was discharged. 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BMC Geriatrics (2026) 26:8 [https://doi.org/10.1186/s12877-025-06664-4](https://doi.org/10.1186/s12877-025-06664-4)  \nBMC Geriatrics  \nCASE REPORT Open Access  \nAcute aortic syndromes after esophageal endoscopic submucosal dissection  \nJing Pang 1, Erfeng Li 1, Wenbin Zhang 1, Feng Wang 1, Bin Guo 1* and Jiwei Ren 1*  \nAbstract  \nBackground Endoscopic Submucosal Dissection (ESD) is established as a primary therapeutic approach for early esophageal cancer, with perforation, bleeding, and stricture recognized as the most significant complications. Current evidence regarding acute aortic syndromes (AAS) following ESD remains limited.  \nCase presentation A previously healthy, 66-year-old woman presented with half a month history of early esophageal cancer through upper gastrointestinal endoscopy. Upper gastrointestinal endoscopy examination showed: Approximately 21–25 cm away from the incisors, a type II-b lesion on the left posterior wall of the esophagus. Eight days post-hospitalization, she underwent esophageal ESD. Seven hours post-operation, she experienced sudden chest pain. An urgent chest CT scan suggested aortic intramural hematoma(IMH) . Following transfer to the vascular surgery department for symptomatic supportive treatment, her condition stabilized, leading to her discharge. Follow-up at three and six months confirmed the aortic condition remained stable. The occurrence of AAS post-ESD is exceedingly rare, with minimal reports in the published literature.  \nConclusions This study reviews the major complications associated with ESD and explores the potential link between esophageal ESD and AAS.  \nKeywords Early esophageal cancer, Endoscopic submucosal dissection (ESD), Acute aortic syndromes (AAS)  \nIntroduction  \nEndoscopic Submucosal Dissection (ESD) is recognized as the mainstay treatment for early esophageal cancer, with perforation, bleeding, and stricture acknowledged as major complications. Reports of AAS following ESDare notably scarce, suggesting that AAS is an exceptionally rare complication of ESD. Herein, we detail a case of aortic intramural hematoma post-esophageal ESD.  \n*Correspondence: Bin Guo [505527190@qq.com](505527190@qq.com)[ ](505527190@qq.com)Jiwei Ren [jiwei_ren@163.com](jiwei_ren@163.com)  \n1Shanxi Province Cancer Hospital/Shanxi Hospital Affiliated to Cancer Hospital, Chinese Academy of Medical Sciences/Cancer Hospital Affiliated to Shanxi Medical University, Taiyuan 030001, China  \nCase presentation  \nA previously healthy 66-year-old woman with no history of tobacco, alcohol, or illicit drug use presented with early esophageal cancer detected by upper gastrointestinal endoscopy. There was no family history of gastrointestinal tumors. Physical examination and laboratory tests, including complete blood count, liver and kidney function tests, and tumor markers (CEA, CA199, CA724, CA125, AFP), were unremarkable. An electrocardiogram showed normal findings.  \nUpper gastrointestinal endoscopy revealed a type II-b lesion on the left posterior wall of the esophagus, located 21–25 cm from the incisors, demonstrating surface roughness (Fig. 1). Chest and abdominal CT showed no esophageal wall thickening. Biopsy results indicated high-grade intraepithelial neoplasia of squamous  \n© The Author(s) 2025. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you ","cbCaiusyOnws1X4g","https://ap.wps.com/l/cbCaiusyOnws1X4g","pdf",1557557,"English","# Abstract\n# Background\n# Case presentation\n## Presentation and diagnosis\n## Treatment and outcomes\n# Conclusions","[{\"question\":\"What is the main purpose of endoscopic submucosal dissection (ESD) in early esophageal cancer?\",\"answer\":\"ESD is used as a primary therapeutic approach for early esophageal cancer. Its major recognized complications include perforation, bleeding, and stricture.\"},{\"question\":\"What acute aortic syndrome occurred after ESD in this case?\",\"answer\":\"Seven hours after the procedure, the patient developed sudden chest pain and CT suggested an aortic intramural hematoma (IMH).\"},{\"question\":\"How did the patient’s condition progress after transfer and follow-up?\",\"answer\":\"After transfer to vascular surgery for symptomatic supportive treatment, her condition stabilized and she was discharged. Follow-up at three and six months confirmed the aortic condition remained stable.\"}]","Acute aortic syndromes after esophageal endoscopic submucosal dissection | PDF",1790715540,18]