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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) >
Please use this identifier to cite or link to this item:
http://ir.fmu.ac.jp/dspace/handle/123456789/534
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| Title: | Successful endoscopic submucosal dissection for early gastric cancer adjacent to gastric cardia varix |
| Authors: | 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 |
| Affiliation: | 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 |
| Source title: | Fukushima Journal of Medical Science |
| Volume: | 62 |
| Issue: | 2 |
| Start page: | 101 |
| End page: | 107 |
| Issue Date: | 2016 |
| Abstract: | 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. |
| Publisher: | The Fukushima Society of Medical Science |
| Publisher (Alternative foam): | 福島医学会 |
| language: | eng |
| URI: | http://ir.fmu.ac.jp/dspace/handle/123456789/534 |
| Full text 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 ID: | 27477990 |
| Related Page: | http://doi.org/10.5387/fms.2016-2 |
| Rights: | © 2016 The Fukushima Society of Medical Science |
| Appears in Collections: | Vol.62 (2016)
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