Progress of Digestive Endoscopy
Online ISSN : 2187-4999
Print ISSN : 1348-9844
ISSN-L : 1348-9844
症例
アルゴンプラズマ凝固(APC)が止血に有効であった重篤な合併症を有する胃sm癌の1例
鈴木 剛佐藤 恵子川本 智章有山 茂和三浦 教子山内 篤黄 麗明加藤 章宮谷 博幸
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2004 年 64 巻 2 号 p. 78-79

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Argon plasma coagulation (APC) is a method of non-contact electro-coagulation that may have a lower risk of complication. A 72-year-old woman developed edema, shortness of breath, and tarry stool. She admitted to the hospital. Laboratory findings on admission showed severe anemia. Hemoglobin was 8.6mg/dl. Gastroendoscopy showed bleeding from type IIc early gastric cancer at gastric angulus. Gastrectomy was contra-indication, since she had severe congestive heart failure with liver cirrhosis. Then, she transferred to our hospital. APC was performed in 2 sessions to obtain hemostasis. Complete hemostasis was finally achieved with APC. In conclusion, APC can obtain an effective coagulation for bleeding in case of gastric sm cancer, in which surgery is consider to be indication

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© 2004 一般社団法人 日本消化器内視鏡学会 関東支部
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