Phlegmonous gastritis after endoscopic submucosal dissection for early gastric cancer | Zendy

Hironari Ajibe | Zendy; Hiroyuki Osawa | Zendy; Mitsuyo Yoshizawa | Zendy; Hironori Yamamoto | Zendy; Kiichi Satoh | Zendy; Koji Koinuma | Zendy; Kazue Morishima | Zendy; Yoshinori Hosoya | Zendy; Yoshikazu Yasuda | Zendy; Kentaro Sugano | Zendy

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Phlegmonous gastritis after endoscopic submucosal dissection for early gastric cancer

Author(s) -

Hironari Ajibe,

Hiroyuki Osawa,

Mitsuyo Yoshizawa,

Hironori Yamamoto,

Kiichi Satoh,

Koji Koinuma,

Kazue Morishima,

Yoshinori Hosoya,

Yoshikazu Yasuda,

Kentaro Sugano

Publication year - 2008

Publication title -

therapeutic advances in gastroenterology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.278

H-Index - 51

eISSN - 1756-2848

pISSN - 1756-283X

DOI - 10.1177/1756283x08095746

Subject(s) - medicine , endoscopic submucosal dissection , gastritis , abscess , epigastric pain , gastrectomy , dissection (medical) , complication , endoscopic mucosal resection , cancer , gastroenterology , surgery , radiology , endoscopy , stomach , vomiting

A 74-year-old man with diabetic nephropathy developed epigastric pain and high fever after endoscopic submucosal dissection (ESD) for early gastric cancer. Gastroscopy, endoscopic ultrasonography and computed tomography showed ulceration with a purulent lake, thickened entire gastric mucosal layers suggesting focal abscess formation, leading to the diagnosis of phlegmonous gastritis. He underwent total gastrectomy as an emergency. Histological findings of the resected specimen showed severe inflammatory cell infiltration and multiple focal abscess formation spreading to the entire gastric wall. In patients with poorer general conditions, phlegmonous gastritis should be considered as a serious complication after ESD, indicating a requirement of antibiotic prophylaxis.

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