Endoscopic transgastric drainage of a gastric wall abscess after endoscopic submucosal dissection

作     者：Osamu Dohi Moyu Dohi Ken Inoue Yasuyuki Gen Masayasu Jo Kazuhiko Tokita 

作者机构：Department of Gastroenterology and Hepatology North Medical Center Kyoto Prefectural University of Medicine 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2014年第20卷第4期

页      面：1119-1122页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Gastric wall abscess Transgastric drainage Delayed perforation Endoscopic submucosal dissection Early gastric cancer 

摘      要：A 63-year-old woman was referred to our hospital for further examination because of an incidental finding of early gastric *** submucosal dissection(ESD)was successfully performed for complete resection of the *** the first post-ESD day,the patient suddenly complained of abdominal pain after an episode of *** computed tomography(CT)showed delayed perforation after *** patient was conservatively treated with an intravenous proton pump inhibitor and *** the fifth post-ESD day,CT revealed a gastric wall abscess in the gastric *** revealed a gastric fistula at the edge of the post-ESD ulcer,and pus was found flowing into the *** intradrainage stent and an extradrainage nasocystic catheter were successfully inserted into the abscess for endoscopic transgastric *** the procedure,the clinical symptoms and laboratory test results improved *** months later,a follow-up CT scan showed no collection of ***,the intradrainage stent was *** the gastric wall abscess recurred 2 wk after stent removal,it recovered soon after endoscopic transgastric ***,after stent removal and oral antibiotic treatment for 1 mo,no recurrence of the gastric wall abscess was found.