A case of postoperative recurrent gastric cancer resembling esophageal achalasia diagnosed by staging laparoscopy
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- KABAYAMA Masayuki
- Digestive and Lifestyle Diseases, Kagoshima University Graduate School of Medical and Dental Sciences
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- SASAKI Fumisato
- Digestive and Lifestyle Diseases, Kagoshima University Graduate School of Medical and Dental Sciences
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- MAEDA Hidehito
- Digestive and Lifestyle Diseases, Kagoshima University Graduate School of Medical and Dental Sciences
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- ARIMA Shiho
- Digestive and Lifestyle Diseases, Kagoshima University Graduate School of Medical and Dental Sciences
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- TANOUE Shiroh
- Digestive and Lifestyle Diseases, Kagoshima University Graduate School of Medical and Dental Sciences
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- NASU Yuichiro
- Digestive and Lifestyle Diseases, Kagoshima University Graduate School of Medical and Dental Sciences
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- HASHIMOTO Shinichi
- Digestive and Lifestyle Diseases, Kagoshima University Graduate School of Medical and Dental Sciences
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- KANMURA Shuji
- Digestive and Lifestyle Diseases, Kagoshima University Graduate School of Medical and Dental Sciences
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- KADONO Jun
- Cardiovascular and Gastroenterological Surgery, Kagoshima University Graduate School of Medical and Dental Sciences
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- IDO Akio
- Digestive and Lifestyle Diseases, Kagoshima University Graduate School of Medical and Dental Sciences
Bibliographic Information
- Other Title
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- 審査腹腔鏡が診断に有用であった胃癌術後再発による二次性アカラシアの1例
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Abstract
<p>A 65-year-old man underwent subtotal gastrectomy for advanced gastric cancer. The histological type of the cancer was signet-ring cell carcinoma, and the clinical stage was stage IB (T2N0M0). Three years after surgery, the patient had the following symptoms:dysphagia, odynophagia, and weight loss. Esophageal endoscopy and esophagography revealed a circular stenosis covered with the normal mucosa between the middle esophagus and the esophagogastric junction. Histologically, the samples obtained by staging laparoscopy revealed signet-ring cell carcinoma. Tucker's criteria are an important tool for differentiating secondary achalasia from primary achalasia with clinical value. Therefore, we suggest that staging laparoscopy is useful for the histological diagnosis of recurrent gastric cancer.</p>
Journal
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- Nippon Shokakibyo Gakkai Zasshi
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Nippon Shokakibyo Gakkai Zasshi 115 (4), 394-400, 2018
The Japanese Society of Gastroenterology