A CASE OF EARLY GASTRIC CANCER IN THE RECONTRUCTED GASTRIC TUBE RADICALY RESECTED FOR ESOPHAGEAL CANCER WITH EFFECTIVE TREATMENT BY ENDOSCOPIC MUCOSAL RESECTION IN ADDITION TO ARGON PLASMA COAGULATION

Abstract

A 72-year-old man was operated for advanced esophageal cancer in 1999. The patient was diagnosed as the O-IIc type early cancer on the greater curvature of the lower gastric tube by the endoscopic examination 3 years after the operation, and admitted to our hospital. The gastric cancer of this case was about 2cm in size and suggested sm invasion on endoscopy. Therefore, the therapeutic choice should direct to gastrectomy. However, due to the patient's refusal disagreement to undergo the operation, we decided to treat by EMR and APC. The 7 months later after EMR and APC treatment, no recurrence has been recognized. We concluded that the combined treatment in EMR addition to APC is one of a effective treatment in a early cancer of gastric tube.