title: Successful endoscopic submucosal dissection for early gastric cancer adjacent to gastric cardia varix.
abstract: A 58-year-old man with liver cirrhosis and renal failure was diagnosed with esophageal varices (EVs) and a gastric cardia varix (GCV) by esophagogastroduodenoscopy (EGD).　The patient also exhibited early gastric cancer (EGC) in the upper gastric body adjacent to the GCV.　The EVs and GCV were treated using endoscopy before endoscopic submucosal dissection (ESD) of the EGC to prevent variceal bleeding during ESD.　Endoscopic variceal ligation (EVL) was performed to treat the EVs.　In addition, extra-variceal polidocanol injection and argon plasma coagulation (APC) were performed after EVL.　Follow-up EGD two months after APC revealed that the GCV had diminished in size.　Then, ESD was performed with polidocanol injection into the submucosa around the GCV to prevent bleeding.　During ESD, the EGC was resected en bloc without severe bleeding.　Complications were not observed after ESD.　Histopathological examination of the ESD specimens indicated that the resection was curative.
authors.affiliation: Department of Endoscopy, Fukushima Medical University Hospital.
authors.forename: Ko
authors.initials: K
authors.lastname: Watanabe
authors.forename: Takuto
authors.initials: T
authors.lastname: Hikichi
authors.forename: Jun
authors.initials: J
authors.lastname: Nakamura
authors.forename: Tadayuki
authors.initials: T
authors.lastname: Takagi
authors.forename: Rei
authors.initials: R
authors.lastname: Suzuki
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Sugimoto
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Waragai
authors.forename: Hitomi
authors.initials: H
authors.lastname: Kikuchi
authors.forename: Naoki
authors.initials: N
authors.lastname: Konno
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Asama
authors.forename: Mika
authors.initials: M
authors.lastname: Takasumi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Watanabe
authors.forename: Katsutoshi
authors.initials: K
authors.lastname: Obara
authors.forename: Hiromasa
authors.initials: H
authors.lastname: Ohira
mesh_terms: D002299:Cardia; D004932:Esophageal and Gastric Varices / Q000601:surgery*; D005753:Gastric Mucosa / Q000601:surgery*; D005773:Gastroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*