Successful Treatment of Early Gastric Cancer Adjacent to a Fundal Varix by Endoscopic Submucosal Dissection and Endoscopic Cyanoacrylate Therapy
Clinical Endoscopy
; : 169-173, 2012.
Article
em En
| WPRIM
| ID: wpr-192127
Biblioteca responsável:
WPRO
ABSTRACT
Endoscopic submucosal dissection (ESD) was developed for the en bloc resection of large early gastrointestinal neoplasms. A disadvantage of ESD is its technical difficulty, which requires advanced skills and is associated with a higher rate of complications. Endoscopic variceal obturation (EVO) using cyanoacrylate has emerged as the initial treatment of choice for acute gastric variceal bleeding. This procedure achieves hemostasis in 90% of cases. A 52-year-old patient with Child A alcoholic liver cirrhosis presented with early gastric cancer in the cardia and type 1 isolated gastric varices in the fundus. The two lesions were so close together that treatment was not easy. The lesions were managed successfully with a combination of ESD and EVO using cyanoacrylate.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Neoplasias Gástricas
/
Varizes
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Cárdia
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Varizes Esofágicas e Gástricas
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Cianoacrilatos
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Neoplasias Gastrointestinais
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Hemorragia
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Hemostasia
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Cirrose Hepática Alcoólica
Limite:
Child
/
Humans
Idioma:
En
Revista:
Clinical Endoscopy
Ano de publicação:
2012
Tipo de documento:
Article