Endoscopic therapy using an endoscopic variceal ligation for minute cancer of the esophagogastric junction complicated with esophageal varices: a case reportReportar como inadecuado




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Journal of Medical Case Reports

, 4:149

First Online: 23 May 2010Received: 25 September 2008Accepted: 23 May 2010DOI: 10.1186-1752-1947-4-149

Cite this article as: Akiyama, T., Abe, Y., Iida, H. et al. J Med Case Reports 2010 4: 149. doi:10.1186-1752-1947-4-149

Abstract

IntroductionStandard endoscopic mucosal resection or endoscopic submucosal dissection is a procedure for patients with minute cancers, complicated with esophageal varices that puts them at high risk of bleeding.

Case presentationWe present the case of a 77-year-old Japanese man with alcoholic cirrhosis who underwent a routine endoscopy examination as a screening procedure for esophageal varices and was incidentally diagnosed as having minute cancer of the esophagogastric junction with esophageal varices. Endoscopic ultrasonography findings suggested that the minute cancer was a non-invasive carcinoma carcinoma in situ and a 2 mm in diameter blood vessel, feeding the esophageal varices, pierced the lesion. Following the examination, we carried out endoscopic treatment of the minute cancer and esophageal varices. Endoscopic variceal ligation was performed using a pneumo-activated device Sumitomo Bakelite, Tokyo, Japan. Two years after the treatment, during the follow-up endoscopic examination on the patient, recurrence of carcinoma was not detected endoscopically or histologically.

ConclusionEndoscopic therapy using an endoscopic variceal ligation device for minute cancer of the esophagogastric junction, complicated with esophageal varices, may be an acceptable and easily applicable method.

AbbreviationsEGJesophagogastric junction

EVLendoscopic variceal ligation

EUSendoscopic ultrasonography.

Electronic supplementary materialThe online version of this article doi:10.1186-1752-1947-4-149 contains supplementary material, which is available to authorized users.

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Autor: Tomoyuki Akiyama - Yasunobu Abe - Hiroshi Iida - Hiroki Endo - Kunihiro Hosono - Kyoko Yoneda - Hirokazu Takahashi - Masahi

Fuente: https://link.springer.com/







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