Medical Treatment of Postendoscopic Submucosal Dissection Phlegmonous Gastritis in an Elderly Diabetic Woman with Myelodysplastic Syndrome
Joint Authors
Matsuura, Ko
Hiramatsu, Shinsuke
Taketani, Rika
Ishibashi, Kohei
Uraoka, Masanao
Baba, Shinichi
Nakamura, Akihiro
Takihara, Hiroshi
Ueda, Chie
Inoue, Taro
Source
Case Reports in Gastrointestinal Medicine
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-09-30
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Phlegmonous gastritis is a rare, suppurative disease characterized by full-thickness exudative changes, infiltration of inflammatory cells, and edema primarily in the submucosal layer.
A 76-year-old woman with type 2 diabetes and myelodysplastic syndrome underwent endoscopic submucosal dissection (ESD) for early gastric cancer.
Postoperatively, she developed persistent fever and computed tomography displayed full-circumference thickening of the gastric wall and increased levels of fat stranding.
Endoscopy showed post-ESD ulcer floor expansion, formation of a false lumen between the ulcer floor and surrounding folds, and adhesion of purulent matter.
Klebsiella pneumoniae, Pseudomonas aeruginosa, and Candida albicans were detected from pus culture and Klebsiella pneumoniae from blood culture, leading to a diagnosis of phlegmonous gastritis.
Contrast examination showed no leakage outside the gastric wall; therefore, the patient fasted and was given antibiotics.
She was successfully treated with medical therapy, as demonstrated by repeat endoscopy.
Based on our experience, we recommend antibiotics before and after ESD in patients thought to be at high risk of infection, as well as careful postoperative management including postoperative endoscopy.
American Psychological Association (APA)
Matsuura, Ko& Hiramatsu, Shinsuke& Taketani, Rika& Ishibashi, Kohei& Uraoka, Masanao& Baba, Shinichi…[et al.]. 2018. Medical Treatment of Postendoscopic Submucosal Dissection Phlegmonous Gastritis in an Elderly Diabetic Woman with Myelodysplastic Syndrome. Case Reports in Gastrointestinal Medicine،Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1143616
Modern Language Association (MLA)
Matsuura, Ko…[et al.]. Medical Treatment of Postendoscopic Submucosal Dissection Phlegmonous Gastritis in an Elderly Diabetic Woman with Myelodysplastic Syndrome. Case Reports in Gastrointestinal Medicine No. 2018 (2018), pp.1-5.
https://search.emarefa.net/detail/BIM-1143616
American Medical Association (AMA)
Matsuura, Ko& Hiramatsu, Shinsuke& Taketani, Rika& Ishibashi, Kohei& Uraoka, Masanao& Baba, Shinichi…[et al.]. Medical Treatment of Postendoscopic Submucosal Dissection Phlegmonous Gastritis in an Elderly Diabetic Woman with Myelodysplastic Syndrome. Case Reports in Gastrointestinal Medicine. 2018. Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1143616
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1143616