The nature of the esophageal submucosal elevation first needs to be clarified to determine if surgery is indicated. If there are surgical indications, endoscopic or open thoracotomy for esophageal submucosal augmentation can be performed.
1. Endoscopic esophageal submucosal augmentation resection: it is suitable for esophageal submucosal augmentation with shallow lesions and small lesions. The endoscope can be placed at the lesion through the oral cavity to gradually reveal the peritoneum of the lesion and peel it off under the direct vision of the endoscope, and then take out the tumor after complete peeling off and close the wound with metal clamps.
2. Open thoracotomy esophageal submucosal bulge resection: after the patient is successfully anesthetized, take the right side lying position, make a posterior lateral incision of the left chest, resect the sixth rib, cut off the fifth rib at the same time, enter the chest through the rib bed, make exploratory separation of the lesion with the finger, and then carry out the resection of the lesion, after anastomosis is completed, remove the gauze pads around the anastomosis, suction and clean the blood accumulated in the thoracic cavity, and suture the incision of the chest wall in layers.
When submucosal elevation of the esophagus occurs, it is recommended to consult a doctor in order to clarify the diagnosis, and treat under the guidance of the doctor.