| Theme |
Emergency Endoscopy |
| Title |
Emergency Endoscopy for Gastric Tumor |
| Author |
Shigeaki Nagao |
Department of Diagnostic and Therapeutic Digestive Endoscopy, National Defense Medical College / Department of 2nd Internal Medicine, National Defense Medical College |
| Author |
Fukutaro Umeno |
Department of 2nd Internal Medicine, National Defense Medical College |
| Author |
Toshihiro Kawai |
Department of 2nd Internal Medicine, National Defense Medical College |
| Author |
Tomoki Sato |
Department of 2nd Internal Medicine, National Defense Medical College |
| Author |
Masaaki Higashiyama |
Department of 2nd Internal Medicine, National Defense Medical College |
| Author |
Atsushi Kawaguchi |
Department of Diagnostic and Therapeutic Digestive Endoscopy, National Defense Medical College / Department of 2nd Internal Medicine, National Defense Medical College |
| [ Summary ] |
In general, gastric tumors are not the major factors leading to urgent endoscopic examinations in daily practice. However, when upper gastrointestinal bleeding occurs in those cases, the characteristics of the tumors affect both the procedure and the outcome of endoscopic hemostasis. It is often difficult to stop bleeding from tumors endoscopically.
At this time, elderly patients, with various complications, are apt to be the subjects of urgent endoscopic hemostasis. Endoscopic hemostasis will become more important as an emergency management tool even if it has temporary effects. The characteristics of various methods, including clipping, injection therapy, etc. must be understood well enough to achieve the best utility. Some of our cases are shown and the details of endoscopic hemostasis for them are explained, to show the indications and the methods of urgent endoscopic examination and hemostasis. |