Successful Treatment of Early Gastric Cancer Adjacent to a Fundal Varix by Endoscopic Submucosal Dissection and Endoscopic Cyanoacrylate Therapy.
- Author:
Yeon Soo KIM
1
;
Won Young CHO
;
Joo Young CHO
;
So Young JIN
Author Information
- Publication Type:Case Report
- Keywords: Endoscopic submucosal dissection; Endoscopic variceal obturation; Early gastric cancer; Esophageal and gastric varices
- MeSH: Cardia; Child; Cyanoacrylates; Esophageal and Gastric Varices; Gastrointestinal Neoplasms; Hemorrhage; Hemostasis; Humans; Liver Cirrhosis, Alcoholic; Middle Aged; Stomach Neoplasms; Varicose Veins
- From:Clinical Endoscopy 2012;45(2):169-173
- CountryRepublic of Korea
- Language:English
- 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.
