1994 Volume 36 Issue 8 Pages 1591-1596_1
A 78-year-old man was admitted to our hospital with a complaint of pharyngeal discomfort. Endoscopic examination revealed an early gastric carcinoma (ha type) in the prepyloric portion, a gastric adenoma on the anterior wall of the antrum and a superficial esophageal carcinoma above the hernial sac of the esophagus. The gastric carcinoma and adenoma were restricted to the mucosa, and we performed an endoscopic mucosal resec-tion (EMR) using a cap for Stiegmann-Goff Ligator fitted on the tip of a one channel panendoscope. The cancer or adenoma-bearing mucosa was packed inside the cap under full endoscopic suction and cauterized by a snare. Though the esophageal carcinoma was supposed to invade into sm, we performed the same procedure because he had pulmonary dysfunction which could not bear a surgical operation. Here we report a case of simultane-ous superficial esophageal carcinoma and early gastric cancer treated by EMR, success-fully maintaining the gastrointestinal function.
