Successful Treatment of Early Gastric Cancer Adjacent to a Fundal Varix by Endoscopic Submucosal Dissection and Endoscopic Cyanoacrylate Therapy
- Authors
- Kim, Yeon Soo; Cho, Won Young; Cho, Joo Young; Jin, So Young
- Issue Date
- Jun-2012
- Publisher
- 대한소화기내시경학회
- Keywords
- Endoscopic submucosal dissection; Endoscopic variceal obturation; Early gastric cancer; Esophageal and gastric varices
- Citation
- Clinical Endoscopy, v.45, no.2, pp 169 - 173
- Pages
- 5
- Journal Title
- Clinical Endoscopy
- Volume
- 45
- Number
- 2
- Start Page
- 169
- End Page
- 173
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/15155
- DOI
- 10.5946/ce.2012.45.2.169
- ISSN
- 2234-2400
2234-2443
- 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 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.
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- Appears in
Collections - College of Medicine > Department of Pathology > 1. Journal Articles
- College of Medicine > Department of Internal Medicine > 1. Journal Articles
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