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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)

Files in This Item:

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FksmJMedSci_62_p101.pdf5.74 MBAdobe PDFDownload

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