A Case of Refractory Gastric Tube Ulcer with Surgical Staple in the Ulcer Floor
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- Hara Tadashi
- Department of Surgery, Tokai University School of Medicine
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- Shimada Hideo
- Department of Surgery, Tokai University School of Medicine
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- Chino Osamu
- Department of Surgery, Tokai University School of Medicine
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- Nishi Takayuki
- Department of Surgery, Tokai University School of Medicine
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- Kise Yoshifumi
- Department of Surgery, Tokai University School of Medicine
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- Hanashi Tomoko
- Department of Surgery, Tokai University School of Medicine
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- Kenmochi Takahiro
- Department of Surgery, Tokai University School of Medicine
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- Yamamoto Soichiro
- Department of Surgery, Tokai University School of Medicine
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- Makuuchi Hiroyasu
- Department of Surgery, Tokai University School of Medicine
Bibliographic Information
- Other Title
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- 潰瘍底にstapleが認められた難治性胃管潰瘍の1例
- 症例 潰瘍底にstapleが認められた難治性胃管潰瘍の1例
- ショウレイ カイヨウテイ ニ staple ガ ミトメラレタ ナンチセイ イカン カイヨウ ノ 1レイ
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Abstract
A 71-year-old woman who had undergone an esophagectomy for benign esophageal stenosis reconstructed by gastric tube through the anterior portion of the sternum, and who had been on medication for lumbago with NSAIDs, was admitted to our hospital complaining of skin redness and oozing of blood in the anterior portion of the gastric tube. The skin redness and oozing of blood were caused by perforation of a gastric tube ulcer. The patient was treated by stoppage of the NSAIDs, eating restraint, hyperalimentation and proton pump inhibitor. The gastric tube ulcer gradually improved and the patient left the hospital. Two months later, however, the patient went into hospital again because of gastric tube ulcer perforation. The patient was treated by the same therapy with the first admission. The gastric tube ulcer gradually improved, but after the patient resumed eating, the gastric tube ulcer worsened. Infection of H. pylori was negative. Endoscopic examination revealed a surgical staple at the floor of the gastric tube ulcer. We diagnosed that the staple had caused the recurrence of the gastric tube ulcer, so we removed it. After that, the gastric tube ulcer improved swiftly and there has been no subsequent recurrence.
Journal
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- Nihon Kikan Shokudoka Gakkai Kaiho
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Nihon Kikan Shokudoka Gakkai Kaiho 59 (1), 56-59, 2008
The Japan Broncho-esophagological Society
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Details 詳細情報について
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- CRID
- 1390282679990582272
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- NII Article ID
- 130004469880
- 10021300705
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- NII Book ID
- AN00187474
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- ISSN
- 18806848
- 00290645
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- NDL BIB ID
- 9379299
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed