Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
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Successful Treatment of Early Gastric Cancer Adjacent to a Fundal Varix by Endoscopic Submucosal Dissection and Endoscopic Cyanoacrylate Therapy

  • Kim, Yeon-Soo (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Cho, Won-Young (Institute for Digestive Research, Soonchunhyang University Hospital, Soonchunhyang University College of Medicine) ;
  • Cho, Joo-Young (Institute for Digestive Research, Soonchunhyang University Hospital, Soonchunhyang University College of Medicine) ;
  • Jin, So-Young (Department of Pathology, Soonchunhyang University Hospital, Soonchunhyang University College of Medicine)
  • Received : 2011.08.09
  • Accepted : 2012.03.12
  • Published : 2012.06.30
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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.

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  1. Observable Laryngopharyngeal Lesions during the Upper Gastrointestinal Endoscopy vol.46, pp.3, 2012, https://doi.org/10.5946/ce.2013.46.3.224
  2. Successful endoscopic submucosal dissection for early gastric cancer adjacent to gastric cardia varix vol.62, pp.2, 2016, https://doi.org/10.5387/fms.2016-2