Synchronous Esophageal and Gastric Cancer Detected by Iatrogenic Esophageal Mucosal Injury Incurred During Endoscopic Retrograde Cholangiopancreatography / 대한췌담도학회지
Korean Journal of Pancreas and Biliary Tract
;
: 76-81, 2018.
Artigo
em Inglês
| WPRIM
| ID: wpr-714145
ABSTRACT
Esophageal mucosal tear occurred during scope insertion in a 71-year-old male patient who previously underwent endoscopic retrograde cholangiopancreatography (ERCP) several times without any complications. The mucosal tear was successfully sealed with endoclips using a forward-viewing scope. However, this mishap leads to the incidental discovery of both esophageal cancer and early gastric cancer. Duodenoscope has inherent limitation in observing the gastrointestinal tract, especially the esophagus, and may miss clinically significant lesions. Therefore, in addition to applying sufficient lubricant to the scope tip and considering the possibility of anatomical variation to prevent mucosal injury or perforation, performing upper endoscopy during ERCP should be considered in a certain patient population, albeit the utility of and the population benefiting from it remains to be proven by a large-scale study.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Neoplasias Gástricas
/
Lágrimas
/
Neoplasias Esofágicas
/
Colangiopancreatografia Retrógrada Endoscópica
/
Duodenoscópios
/
Achados Incidentais
/
Trato Gastrointestinal
/
Endoscopia
/
Esôfago
Tipo de estudo:
Estudo diagnóstico
Limite:
Idoso
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Korean Journal of Pancreas and Biliary Tract
Ano de publicação:
2018
Tipo de documento:
Artigo
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