A Case of Unexpected Full Stomach after Two Endoscopic Submucosal Dissections for Early Gastric Cancers

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  • ARAI Riho
    Department of Anesthesiology, Toyama Prefectural Central Hospital
  • YOSHIDA Hitoshi
    Department of Anesthesiology, Toyama Prefectural Central Hospital
  • NAGAOKA Harumi
    Department of Anesthesiology, Toyama Prefectural Central Hospital
  • USAMI Jun
    Department of Anesthesiology, Toyama Prefectural Central Hospital
  • NASU Michinori
    Department of Anesthesiology, Toyama Prefectural Central Hospital

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Other Title
  • 早期胃癌に対する2回の内視鏡的粘膜下層剥離術後の胃切除術時に予期せぬ胃内容充満があった症例

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Abstract

<p>A 76-year-old male with diabetes mellitus was scheduled to undergo laparoscopic distal partial gastrectomy. He twice underwent endoscopic submucosal dissection（ESD）for early gastric cancers before surgery. After induction of anesthesia, endotracheal intubation was performed. There were no foreign bodies in the oral cavity during endotracheal intubation. We suctioned about 200 mL of gastric contents from the nasogastric tube. Nevertheless, the stomach was still expanded. The surgeons made an incision in part of the stomach and then aspirated and scraped out about 700 g of gastric contents. The operation finished successfully. Due to two wide ESDs and diabetes mellitus, delayed gastric emptying and unexpected full stomach occurred. Fortunately, aspiration did not occur, but this case sounded serious alarm bells for anesthesiologists.</p>

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