1993 Volume 42 Pages 189-191
Selection of treatment for the patient of early cancer is sometime problematical in cases who have psychological disturbance or senile dementia inspite of good physical condition.
This case is a 69-year-old man who simultaneously associated with early esophageal and gastric cancer, with complications of night delirium and senile dementia. Endoscopy showed an intraepithelial or intramucosal cancer in the esophagus and a IIc+III typed cancer in the stomach. Due to his severe psychological condition, subtotal gastrectomy was selected to treat the gastric cancer, and EMR to the esophageal lesion. The postoperative course was good.
So that is worthy of note that EMR is safe and effective technique in such cases, and will be more widely utility in the near future.
