十二指腸球部に陥頓し，止血に結紮装置法が有効であった胃穹窿部粘膜下腫瘍の1例

概要

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A-83-year old female had epigastral discomfort since middle of May 2003. She visited our hospital becase of hematemesis on 29th May. Lavoratory data showed decreased hemoglobin. Emergency endoscopic examination revealed active bleeding from giant submucosal tumor (SMT) of the fornix and treated with injection of 1/5,000 Epinephrine. On Next day, SMT prolapsed into duodenal valve was revealed in the endoscopic examination and was returned to stomach from duodenal valve by endoscopic technique. However active re-bleeding from SMT was noted and treatment for bleeding was performed by hanging detachable snare based on the SMT. Suddenly bleeding was stopped and SMT was getting degenerated by necrotic change after treatment, and so histological diagnosis of SMT was failed out. Three months after treatment, endoscopic examination showed ulcer scar after endoscopic treatment for SMT and endoscopic ultrasonography was could not disclosed evidence of SMT.
Japan Gastroenterological Endoscopy Society Kanto Chapterの論文