Endoscopic Submucosal Dissection for Early Gastric Cancer in A Cirrhotic Patient: Case Report and Review of Literature

IF 0.4 Q4 GASTROENTEROLOGY & HEPATOLOGY Journal of Digestive Endoscopy Pub Date : 2023-09-28 DOI:10.1055/s-0043-1773773
Unique Tyagi, Sridhar Sundaram, Aadish Kumar Jain, Akhil Mahajan, Rahul Puri, Prachi Patil, Shaesta Mehta
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Abstract

Abstract Endoscopic resection techniques like endoscopic mucosal resection and endoscopic submucosal dissection have become the cornerstone for the management of early cancers of the gastrointestinal tract. Risks associated with endoscopic resection may be exacerbated by the presence of background cirrhosis with its attendant complications. With complex alterations in hemostasis in patients with cirrhosis, management of patients undergoing endoscopic resection is more challenging. In this article we discuss a case of early gastric cancer in a patient with background chronic liver disease and thrombocytopenia managed using endoscopic submucosal dissection.
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内镜下粘膜下剥离术治疗肝硬化早期胃癌1例报告及文献复习
内镜粘膜切除、内镜粘膜下剥离等内镜切除技术已成为早期胃肠道肿瘤治疗的基石。内窥镜切除的相关风险可能会因背景性肝硬化及其并发症而加剧。随着肝硬化患者止血功能的复杂改变,内镜切除患者的管理更具挑战性。在这篇文章中,我们讨论了一例早期胃癌患者的背景慢性肝病和血小板减少使用内镜粘膜下解剖处理。
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来源期刊
Journal of Digestive Endoscopy
Journal of Digestive Endoscopy GASTROENTEROLOGY & HEPATOLOGY-
自引率
28.60%
发文量
35
审稿时长
22 weeks
期刊介绍: The Journal of Digestive Endoscopy (JDE) is the official publication of the Society of Gastrointestinal Endoscopy of India that has over 1500 members. The society comprises of several key clinicians in this field from different parts of the country and has key international speakers in its advisory board. JDE is a double-blinded peer-reviewed, print and online journal publishing quarterly. It focuses on original investigations, reviews, case reports and clinical images as well as key investigations including but not limited to cholangiopancreatography, fluoroscopy, capsule endoscopy etc.
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