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Delayed perforation after endoscopic submucosal dissection for mucosal colon cancer: A conservatively treated case
https://fmu.repo.nii.ac.jp/records/2001969
https://fmu.repo.nii.ac.jp/records/2001969c05d0cd3-a2e5-434c-8eb5-c8636336ed54
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
FksmJMedSci_64_p157.pdf (2.6 MB)
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| Item type | デフォルトアイテムタイプ（フル）fmu(1) | |||||||||||||||||||||
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| 公開日 | 2018-12-18 | |||||||||||||||||||||
| タイトル | ||||||||||||||||||||||
| タイトル | Delayed perforation after endoscopic submucosal dissection for mucosal colon cancer: A conservatively treated case | |||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||
| 作成者 |
Kawashima, Kazumasa
× Kawashima, Kazumasa
× Hikichi, Takuto
× Fujiwara, Tatsuo
× Gunji, Naohiko
× Nakamura, Jun
× Watanabe, Ko
× Katakura, Kyoko
× Ohira, Hiromasa
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| 権利情報 | ||||||||||||||||||||||
| 権利情報 | © 2018 The Fukushima Society of Medical Science | |||||||||||||||||||||
| 内容記述 | ||||||||||||||||||||||
| 内容記述タイプ | Abstract | |||||||||||||||||||||
| 内容記述 | A 66-year-old man was diagnosed from colonoscopy as having a 40-mm elevated tumor in the cecum. With a preoperative diagnosis of intramucosal carcinoma, endoscopic submucosal dissection (ESD) was performed. The tumor was resected en bloc, yielding a specimen with a 66-mm diameter. No perforation was detected during the operation.Although neither abdominal pain nor fever was observed immediately after ESD, abdominal pain developed on the following day. Two days after ESD, the abdominal pain ceased. The patient was managed conservatively with fasting and intravenous antibiotic treatment. Four days after ESD, abdominal X-ray revealed marked gas retention. Computed tomography revealed pneumoperitoneum and a pelvic abscess, leading to a diagnosis of delayed perforation after colonic ESD and paralytic intestinal obstruction. A decompression tube was then inserted transnasally into the small intestine. Because a gradual decrease occurred in intestinal gas, the decompression tube was removed. Oral ingestion was resumed 13 days post-ESD.Delayed perforation after colonic ESD often requires emergency surgery. The present case was managed conservatively, despite paralytic intestinal obstruction. This approach is rarely employed for this condition and is therefore worth reporting. | |||||||||||||||||||||
| 出版者 | ||||||||||||||||||||||
| 出版者 | The Fukushima Society of Medical Science | |||||||||||||||||||||
| 言語 | ||||||||||||||||||||||
| 言語 | eng | |||||||||||||||||||||
| 書誌情報 |
en : Fukushima Journal of Medical Science 巻 64, 号 3, p. 157-162, 発行日 2018 |
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| 関連タイプ | isIdenticalTo | |||||||||||||||||||||
| 識別子タイプ | DOI | |||||||||||||||||||||
| 関連識別子 | https://doi.org/10.5387/fms.2018-04 | |||||||||||||||||||||
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| 識別子タイプ | PMID | |||||||||||||||||||||
| 関連識別子 | 30197398 | |||||||||||||||||||||
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| 識別子タイプ | ICHUSHI | |||||||||||||||||||||
| 関連識別子 | 2020107751 | |||||||||||||||||||||
| 資源タイプ | ||||||||||||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||||||||
| 資源タイプ | journal article | |||||||||||||||||||||
| 出版タイプ | ||||||||||||||||||||||
| 出版タイプ | VoR | |||||||||||||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||||||||||||
| 収録物識別子 | ||||||||||||||||||||||
| 収録物識別子タイプ | PISSN | |||||||||||||||||||||
| 収録物識別子 | 0016-2590 | |||||||||||||||||||||
| 収録物識別子 | ||||||||||||||||||||||
| 収録物識別子タイプ | EISSN | |||||||||||||||||||||
| 収録物識別子 | 2185-4610 | |||||||||||||||||||||
| 収録物識別子 | ||||||||||||||||||||||
| 収録物識別子タイプ | NCID | |||||||||||||||||||||
| 収録物識別子 | AA0065246X | |||||||||||||||||||||
| 主題 | ||||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||
| 主題 | colon cancer | |||||||||||||||||||||
| 主題 | ||||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||
| 主題 | complication | |||||||||||||||||||||
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| 主題Scheme | Other | |||||||||||||||||||||
| 主題 | endoscopic resection | |||||||||||||||||||||
| 主題 | ||||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||
| 主題 | endoscopic submucosal dissection | |||||||||||||||||||||
| 主題 | ||||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||
| 主題 | perforation | |||||||||||||||||||||
