CASE REPORT OF A RECTAL STENOSIS AFTER ENDOSCOPIC SUBMUCOSAL DISSECTION OF A GIANT RECTAL TUMOR

DOI 1 Citations 9 References
  • YAMADA Shinya
    Department of Gastroenterology, Ishikawa Prefectural Central Hospital.
  • HIRANO Katsura
    Department of Gastroenterology, Ishikawa Prefectural Central Hospital.
  • WASEDA Yohei
    Department of Gastroenterology, Ishikawa Prefectural Central Hospital.
  • INAGAKI Satoko
    Department of Gastroenterology, Ishikawa Prefectural Central Hospital.
  • MIWA Kazuhiro
    Department of Gastroenterology, Ishikawa Prefectural Central Hospital.
  • KANEKO Yoshifumi
    Department of Gastroenterology, Ishikawa Prefectural Central Hospital.
  • GOTOH Yoshinori
    Department of Gastroenterology, Ishikawa Prefectural Central Hospital.
  • DOYAMA Hisashi
    Department of Gastroenterology, Ishikawa Prefectural Central Hospital.
  • KATAYANAGI Kazuyoshi
    Department of Pathology, Ishikawa Prefectural Central Hospital.
  • KURUMAYA Hiroshi
    Department of Pathology, Ishikawa Prefectural Central Hospital.

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Other Title
  • 巨大直腸腫瘍ＥＳＤ後に狭窄症状を来した１例

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Abstract

A 73-year-old woman, presented with a large tumor in the rectum. We conducted an endoscopic submucosal dissection (ESD) to remove the tumor, which was 9 cm in diameter from Ra to Rs, and approximately five sixths the circumference of the rectum. Accordingly, the whole circumference of the rectum was resected. Although she did not experience any major surgical complications, the patient started to have difficulty with defecation from the 23rd day after the operation. An endoscopic examination revealed a stenosis in the resected part. Endoscopic balloon dilatation was conducted twice, which relieved the patient's symptom.

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