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A CASE OF ADENOCARCINOMA ARISING IN LONG-SEGMENT BARRETT’S ESOPHAGUS 51 YEARS AFTER TOTAL GASTRECTOMY
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- FUJII Shigehiko
- Digestive disease Center, Department of Gastroenterology and Hepatology, Kyoto Katsura Hospital.
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- KUSAKA Toshihiro
- Digestive disease Center, Department of Gastroenterology and Hepatology, Kyoto Katsura Hospital.
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- TERAMURA Mari
- Digestive disease Center, Department of Gastroenterology and Hepatology, Kyoto Katsura Hospital.
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- NAKAMURA Takeharu
- Digestive disease Center, Department of Gastroenterology and Hepatology, Kyoto Katsura Hospital.
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- HIRATA Daizan
- Digestive disease Center, Department of Gastroenterology and Hepatology, Kyoto Katsura Hospital.
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- OOIWA Yoko
- Digestive disease Center, Department of Gastroenterology and Hepatology, Kyoto Katsura Hospital.
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- ARAKI Osamu
- Digestive disease Center, Department of Gastroenterology and Hepatology, Kyoto Katsura Hospital.
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- ITOKAWA Yoshio
- Digestive disease Center, Department of Gastroenterology and Hepatology, Kyoto Katsura Hospital.
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- TANAKA Hideyuki
- Digestive disease Center, Department of Gastroenterology and Hepatology, Kyoto Katsura Hospital.
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- YASUHARA Yumiko
- Department of Diagnostic Pathology, Kyoto Katsura Hospital.
Bibliographic Information
- Other Title
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- 胃全摘後のlong segment Barrett’s esophagusに合併したBarrett食道腺癌の1例
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Description
<p>Barrett’s esophagus, a precursor of esophageal adenocarcinoma, occurs due to reflux of duodenal contents after total gastrectomy. We herein report a case of adenocarcinoma arising in long-segment Barrett’s esophagus 51 years after total gastrectomy. A 70-year-old woman who had undergone total gastrectomy with Billroth Ⅱ esophagojejunostomy reconstruction and Braun’s anastomosis for a gastric ulcer at 19 years of age, was referred to our hospital for detailed examination of a protruded lesion in the esophagus. Endoscopic examination revealed long-segment Barrett’s esophagus beginning 17 cm from the incisors and continuing to the esophagojejunostomy site, and a slightly reddish protruded lesion, 14 mm in diameter, that was located 18 cm from the incisors. Biopsy specimens taken from the lesion disclosed adenocarcinoma. We diagnosed it as adenocarcinoma in Barrett’s esophagus and performed endoscopic submucosal dissection. Histopathologic examination of cross-sections revealed well-differentiated tubular adenocarcinoma invading down to the deep muscularis mucosae. The surrounding esophageal mucosa was lined with columnar epithelium of intestinal type. The patient has continued to be followed frequently and has been recurrence-free for 2 years. Careful surveillance is recommended for patients with long-segment Barrett’s esophagus after total gastrectomy in order to detect adenocarcinoma early.</p>
Journal
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- GASTROENTEROLOGICAL ENDOSCOPY
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GASTROENTEROLOGICAL ENDOSCOPY 59 (3), 265-271, 2017
Japan Gastroenterological Endoscopy Society
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Details 詳細情報について
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- CRID
- 1390282679199568896
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- NII Article ID
- 130005465048
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- ISSN
- 18845738
- 03871207
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed