TWO CASES OF PHLEGMONOUS GASTRITIS AFTER ESD FOR EARLY GASTRIC CANCER

Abstract

Case 1 was a 58-year-old man and case 2 was a 91-year-old man. Both cases developed upper abdominal pain and high fever a day after ESD performed for early gastric cancer. CT showed diffuse thickening of the gastric wall. Examination of the blood counts and blood biochemical examination showed high counts of white blood cells and elevation serum CRP levels. Both cases were administered antibiotics, however, since the general condition worsened rapidly, emergency operation was performed in both. Both patients were eventually diagnosed as having phlegmonous gastritis. Phlegmonous gastritis is a rare complication developing after ESD. It is important to carefully observe patients after ESD, especially when they develop severe pain and pyrexia.