Fukushima journal of medical science · 2016
Successful endoscopic submucosal dissection for early gastric cancer adjacent to gastric cardia varix.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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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
Аннотация
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.