Abstract
A 68-year-old woman had visited a medical clinic because of abdominal bloating. Endoscopic examination had shown diffuse granular lesions in the entire stomach. Histological examination of the lesions revealed non-caseous granulomas. After clinically differentiation such as various diseases such as Crohn's disease, tuberculosis, or histoplasmosis, she had been diagnosed as having gastric sarcoidosis. Esophagogastrodudenoscopy (EGD) had been performed once a year as an annual screening. During a follow-up EGD on April 2011, lacerations with bleeding spontaneously occurred at the lesser curvature from the middle to the upper parts of the stomach. Thus, she was admitted to our hospital. Three days later, follow-up EGD examination showed improvement in the gastric lesions, and she was discharged from our hospital. It is important to gently manipulate the scope without excessive air insufflation in patients with gastric sarcoidosis because of mucosal friability.
