Lim Eun Joo, Sim Eun Hui, Kim Byung Wook, Kim Jong In, Kim Joon Sung, Ji Jeong Seon, Choi Hwang
Division of Gastroenterology, Department of Internal Medicine, The Catholic University of Korea Incheon St. Mary's Hospital, Incheon, Korea.
Korean J Gastroenterol. 2015 Mar;65(3):173-6. doi: 10.4166/kjg.2015.65.3.173.
Endoscopic submucosal dissection (ESD) has been successfully performed in thrombocytopenic conditions such as in patients with liver cirrhosis but successful ESD for early gastric cancer (EGC) in hematologic diseases has rarely been reported. A 52-year-old male patient, who had previously been diagnosed with myelodysplastic syndrome 2 years ago, was admitted to our hospital for ESD of EGC. ESD was performed successfully in this patient after platelet concentrates transfusion on the day of ESD. ESD might be an option for the treatment of EGC in thrombocytopenia due to hematologic diseases when optimal supportive managements are applied.
内镜黏膜下剥离术（ESD）已成功应用于血小板减少的情况，如肝硬化患者，但血液系统疾病患者早期胃癌（EGC）的ESD成功案例鲜有报道。一名52岁男性患者，2年前被诊断为骨髓增生异常综合征，因EGC的ESD入院。在ESD当天输注血小板浓缩液后，该患者的ESD手术成功完成。当采取最佳支持性管理措施时，ESD可能是治疗血液系统疾病导致血小板减少患者EGC的一种选择。
