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
in English
| WPRIM (Western Pacific)
| ID: wpr-192127
Responsible library:
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.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Stomach Neoplasms
/
Varicose Veins
/
Cardia
/
Esophageal and Gastric Varices
/
Cyanoacrylates
/
Gastrointestinal Neoplasms
/
Hemorrhage
/
Hemostasis
/
Liver Cirrhosis, Alcoholic
Limits:
Child
/
Humans
Language:
English
Journal:
Clinical Endoscopy
Year:
2012
Document type:
Article