A gastric polyp with malignancy which could be detected by magnyfying endoscopy combined with narA case of rectal carcinoid tumor successfully treated with two endoscopes and 3D EUS

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  • Hirahata Koichi
    Division of Gastroenterology, Department of Internal Medicine, Toho University Ohashi Medical Center
  • Kakemura Tadayoshi
    Division of Gastroenterology, Department of Internal Medicine, Toho University Ohashi Medical Center
  • Abe Tsuyoshi
    Division of Gastroenterology, Department of Internal Medicine, Toho University Ohashi Medical Center
  • Nemoto Yukako
    Division of Gastroenterology, Department of Internal Medicine, Toho University Ohashi Medical Center
  • Iida Tsutomu
    Division of Gastroenterology, Department of Internal Medicine, Toho University Ohashi Medical Center
  • Fujinuma Sumio
    Division of Gastroenterology, Department of Internal Medicine, Toho University Ohashi Medical Center
  • Sato Koichiro
    Division of Gastroenterology, Department of Internal Medicine, Toho University Ohashi Medical Center
  • Ito Sayo
    Division of Gastroenterology, Department of Internal Medicine, Toho University Ohashi Medical Center
  • Shigiyama Fumiko
    Division of Gastroenterology, Department of Internal Medicine, Toho University Ohashi Medical Center
  • Furuhata Tsukasa
    Division of Gastroenterology, Department of Internal Medicine, Toho University Ohashi Medical Center
  • Maetani Iruru
    Division of Gastroenterology, Department of Internal Medicine, Toho University Ohashi Medical Center

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  • 3D EUSを併用しダブルスコープで摘除した直腸カルチノイドの1例

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症例は72歳の男性。血便のため施行した大腸内視鏡で直腸下部に径15mmの直腸カルチノイドを認めた。内視鏡的3次元超音波断層法（3D EUS）を併用し，超音波画像下に腫瘍直下に生理食塩水を十分注入し，腫瘍直下の粘膜下層の付着と，腫瘍の固有筋層からの挙上を確認後，一方のスコープ先端に装着した広口斜径ソフトフードで吸引，他方のスコープを通じワイヤースネアで絞扼，摘除し，病理組織学的に完全摘除を確認した。

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