福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
Vol.62 (2016) >
このアイテムの引用には次の識別子を使用してください:
http://ir.fmu.ac.jp/dspace/handle/123456789/534
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タイトル: | Successful endoscopic submucosal dissection for early gastric cancer adjacent to gastric cardia varix |
著者: | Watanabe, Ko Hikichi, Takuto Nakamura, Jun Takagi, Tadayuki Suzuki, Rei Sugimoto, Mitsuru Waragai, Yuichi Kikuchi, Hitomi Konno, Naoki Asama, Hiroyuki Takasumi, Mika Watanabe, Hiroshi Obara, Katsutoshi Ohira, Hiromasa |
学内所属: | 内視鏡診療部 消化器・リウマチ膠原病内科学講座 消化器内視鏡先端医療支援講座 |
誌名/書名: | Fukushima Journal of Medical Science |
巻: | 62 |
号: | 2 |
開始ページ: | 101 |
終了ページ: | 107 |
発行日: | 2016年 |
抄録: | A 58-year-old man with liver cirrhosis and renal failure was diagnosed with esophageal varices (EVs) and a gastric cardia varix (GCV) by esophagogastroduodenoscopy (EGD). The patient also exhibited early gastric cancer (EGC) in the upper gastric body adjacent to the GCV. The EVs and GCV were treated using endoscopy before endoscopic submucosal dissection (ESD) of the EGC to prevent variceal bleeding during ESD. Endoscopic variceal ligation (EVL) was performed to treat the EVs. In addition, extra-variceal polidocanol injection and argon plasma coagulation (APC) were performed after EVL. Follow-up EGD two months after APC revealed that the GCV had diminished in size. Then, ESD was performed with polidocanol injection into the submucosa around the GCV to prevent bleeding. During ESD, the EGC was resected en bloc without severe bleeding. Complications were not observed after ESD. Histopathological examination of the ESD specimens indicated that the resection was curative. |
出版者: | The Fukushima Society of Medical Science |
出版者(異表記): | 福島医学会 |
本文の言語: | eng |
このページのURI: | http://ir.fmu.ac.jp/dspace/handle/123456789/534 |
本文URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/534/1/FksmJMedSci_62_p101.pdf |
ISSN: | 0016-2590 2185-4610 |
DOI: | 10.5387/fms.2016-2 |
PubMed番号: | 27477990 |
関連ページ: | http://doi.org/10.5387/fms.2016-2 |
権利情報: | © 2016 The Fukushima Society of Medical Science |
出現コレクション: | Vol.62 (2016)
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