| Item type |
学術雑誌論文 / Journal Article(1) |
| タイトル |
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タイトル |
Curative Endoscopic Resection of a Widespread Superficial Adenocarcinoma in a Long-segment Barrett’s Esophagus |
| 言語 |
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言語 |
eng |
| キーワード |
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主題Scheme |
Other |
|
主題 |
Adenocarcinoma |
| キーワード |
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|
主題Scheme |
Other |
|
主題 |
Endoscopic submucosal dissection |
| キーワード |
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主題Scheme |
Other |
|
主題 |
Long-segment Barrett’s esophagus |
| キーワード |
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主題Scheme |
Other |
|
主題 |
Narrow-band imaging |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
magnification endoscopy |
| 資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
journal article |
| 著者 |
Goda, Kenichi
Kanamori, Akira
Suzuki, Tsunehiro
Abe, Keiichiro
Kondo, Masayuki
Inaba, Yasunori
Yoshinaga, Tomonori
Abe, Yoko
Tanaka, Takanao
Kanazawa, Mimari
Nagashima, Kazunori
Minaguchi, Takahito
Yamamiya, Akira
Arisaka, Takahiro
Hoshi, Koki
Tominaga, Keiichi
Majima, Yuichi
Iijima, Makoto
Ishida, Kazuyuki
Irisawa, Atsushi
|
| 著者所属 |
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|
値 |
Department of Gastroenterology, Dokkyo Medical University, Tochigi, Japan |
| 著者所属 |
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値 |
Department of Gastroenterology, Dokkyo Medical University, Tochigi, Japan |
| 著者所属 |
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値 |
Department of Gastroenterology, Dokkyo Medical University, Tochigi, Japan |
| 著者所属 |
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値 |
Department of Gastroenterology, Dokkyo Medical University, Tochigi, Japan |
| 著者所属 |
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値 |
Department of Gastroenterology, Dokkyo Medical University, Tochigi, Japan |
| 著者所属 |
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|
値 |
Department of Gastroenterology, Dokkyo Medical University, Tochigi, Japan |
| 著者所属 |
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値 |
Department of Gastroenterology, Dokkyo Medical University, Tochigi, Japan |
| 著者所属 |
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|
値 |
Department of Gastroenterology, Dokkyo Medical University, Tochigi, Japan |
| 著者所属 |
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値 |
Department of Gastroenterology, Dokkyo Medical University, Tochigi, Japan |
| 著者所属 |
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値 |
Department of Gastroenterology, Dokkyo Medical University, Tochigi, Japan |
| 著者所属 |
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|
値 |
Department of Gastroenterology, Dokkyo Medical University, Tochigi, Japan |
| 著者所属 |
|
|
値 |
Department of Gastroenterology, Dokkyo Medical University, Tochigi, Japan |
| 著者所属 |
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|
値 |
Department of Gastroenterology, Dokkyo Medical University, Tochigi, Japan |
| 著者所属 |
|
|
値 |
Department of Gastroenterology, Dokkyo Medical University, Tochigi, Japan |
| 著者所属 |
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|
値 |
Department of Gastroenterology, Dokkyo Medical University, Tochigi, Japan |
| 著者所属 |
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値 |
Department of Gastroenterology, Dokkyo Medical University, Tochigi, Japan |
| 著者所属 |
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値 |
Department of Gastroenterology, Dokkyo Medical University, Tochigi, Japan |
| 著者所属 |
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値 |
Department of Gastroenterology, Dokkyo Medical University, Tochigi, Japan |
| 著者所属 |
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値 |
Department of Pathology, Dokkyo Medical University, Tochigi, Japan |
| 著者所属 |
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値 |
Department of Gastroenterology, Dokkyo Medical University, Tochigi, Japan |
| 書誌情報 |
Dokkyo Medical Journal
巻 1,
号 2,
p. 113-118,
発行日 2022-06
|
| 抄録 |
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内容記述タイプ |
Abstract |
|
内容記述 |
We report about a patient with an extremely rare long-segment Barrett’s esophagus (LSBE) who developed extensive superficial adenocarcinoma and underwent radical (R0) resection based on an accurate preoperative diagnosis of tumor extent. A 68-year-old man with no subjective symptoms and no noteworthy medical history was diagnosed with adenocarcinoma after a biopsy of a protruding lesion in the lower esophagus. Narrow-band imaging (NBI) magnification endoscopy revealed that the protruded lesion was within the LSBE, and a flatly extended superficial esophageal adenocarcinoma (SEAC) was observed proximal to the protruded lesion. After confirming the extent of the tumorous lesion via endoscopic biopsy, subcircumferential endoscopic submucosal dissection (ESD) was performed for the extensive tumor, which resulted in a histological R0 resection. Prophylactic steroid therapy was performed to prevent refractory post-ESD stenosis. There was no residual tumor or recurrence of the cancer, and the patient’s postoperative course was favorable. Preoperative diagnosis of tumor extent using NBI magnification endoscopy may therefore be useful for characterizing SEAC occurring in the LSBE, given that detecting the presence and determining the extent of these tumors is normally difficult. Prophylactic therapy with local steroid injection can prevent refractory stenosis after quite extensive ESDs for SEACs in the LSBE. |
| 記事種別 |
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|
値 |
Case Report |
| 出版者 |
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出版者 |
Dokkyo Medical Society |
| ISSN |
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収録物識別子タイプ |
ISSN |
|
収録物識別子 |
2436-5211 |
| DOI |
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識別子タイプ |
DOI |
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関連識別子 |
10.51040/dkmj.1.2_113 |
DKMS-1-2-Goda-Fulltext (711.7 kB)
