tailieunhanh - Báo cáo y học: "Endoscopic therapy using an endoscopic variceal ligation for minute cancer of the esophagogastric junction complicated with esophageal varices: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Endoscopic therapy using an endoscopic variceal ligation for minute cancer of the esophagogastric junction complicated with esophageal varices: a case report. | Akiyama et al. Journal of Medical Case Reports 2010 4 149 http content 4 1 149 jA CASE REPORTS CASE REPORT Open Access Endoscopic therapy using an endoscopic variceal ligation for minute cancer of the esophagogastric junction complicated with esophageal varices a case report Tomoyuki Akiyama 1 Yasunobu Abe1 Hiroshi Iida1 Hiroki Endo1 Kunihiro Hosono1 Kyoko Yoneda1 Hirokazu Takahashi1 Masahiko Inamori 1 Akihide Ryo2 Shoji Yamanaka2 Yoshiaki Inayama2 and Atsushi Nakajima1 Abstract Introduction Standard 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 presentation We 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 pneumoactivated 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. Conclusion Endoscopic 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. Introduction Minute cancer is a gastric cancer lesion of less than 5 mm in its maximum diameter with tumor cells confined to the mucosa. Lymph node metastases .