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KMID : 0359020120450020169
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Korean Journal of Gastrointestinal Endoscopy
2012 Volume.45 No. 2 p.169 ~ p.173
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Successful Treatment of Early Gastric Cancer Adjacent to a Fundal Varix by Endoscopic Submucosal Dissection and Endoscopic Cyanoacrylate Therapy
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Kim Yeon-Soo
Cho Won-Young
Cho Joo-Young
Jin So-Young
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Abstract
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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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KEYWORD
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Endoscopic submucosal dissection, Endoscopic variceal obturation, Early gastric cancer, Esophageal and gastric varices
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