Endoscopic submucosal dissection of early gastric cancer via inverted overtube in a patient with situs inversus totalis: a case report

Background and study aims  A 72-year-old man with complete situs inversus presented with early gastric cancer on the lesser curvature wall of the antrum of the stomach. Endoscopic submucosal dissection (ESD) was selected as a treatment. When the patient was positioned in the left decubitus position,...

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Autores principales: Miyaoka, Youichi, Suemitsu, Shinsuke, Fujiwara, Aya, Kotani, Satoshi, Tsukano, Kosuke, Yamanouchi, Satoshi, Kusunoki, Ryusaku, Miyake, Tatsuya, Fujishiro, Hirofumi, Kohge, Naruaki, Yamamoto, Tomohiko, Amano, Yuji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: © Georg Thieme Verlag KG 2018
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5943690/
https://www.ncbi.nlm.nih.gov/pubmed/29756022
http://dx.doi.org/10.1055/a-0581-7101
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author Miyaoka, Youichi
Suemitsu, Shinsuke
Fujiwara, Aya
Kotani, Satoshi
Tsukano, Kosuke
Yamanouchi, Satoshi
Kusunoki, Ryusaku
Miyake, Tatsuya
Fujishiro, Hirofumi
Kohge, Naruaki
Yamamoto, Tomohiko
Amano, Yuji
author_facet Miyaoka, Youichi
Suemitsu, Shinsuke
Fujiwara, Aya
Kotani, Satoshi
Tsukano, Kosuke
Yamanouchi, Satoshi
Kusunoki, Ryusaku
Miyake, Tatsuya
Fujishiro, Hirofumi
Kohge, Naruaki
Yamamoto, Tomohiko
Amano, Yuji
author_sort Miyaoka, Youichi
collection PubMed
description Background and study aims  A 72-year-old man with complete situs inversus presented with early gastric cancer on the lesser curvature wall of the antrum of the stomach. Endoscopic submucosal dissection (ESD) was selected as a treatment. When the patient was positioned in the left decubitus position, the lesion was hidden by blood and gastric fluid because it was located on the gravitational side. Therefore, we decided to perform ESD with the patient in the right lateral decubitus position and use an inverted overtube, which provided a good endoscopic view without the need to rearrange the endoscopist, assistants, or endoscopic system. ESD was safe and feasible using the inverted overtube.
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spelling pubmed-59436902018-05-11 Endoscopic submucosal dissection of early gastric cancer via inverted overtube in a patient with situs inversus totalis: a case report Miyaoka, Youichi Suemitsu, Shinsuke Fujiwara, Aya Kotani, Satoshi Tsukano, Kosuke Yamanouchi, Satoshi Kusunoki, Ryusaku Miyake, Tatsuya Fujishiro, Hirofumi Kohge, Naruaki Yamamoto, Tomohiko Amano, Yuji Endosc Int Open Background and study aims  A 72-year-old man with complete situs inversus presented with early gastric cancer on the lesser curvature wall of the antrum of the stomach. Endoscopic submucosal dissection (ESD) was selected as a treatment. When the patient was positioned in the left decubitus position, the lesion was hidden by blood and gastric fluid because it was located on the gravitational side. Therefore, we decided to perform ESD with the patient in the right lateral decubitus position and use an inverted overtube, which provided a good endoscopic view without the need to rearrange the endoscopist, assistants, or endoscopic system. ESD was safe and feasible using the inverted overtube. © Georg Thieme Verlag KG 2018-05 2018-05-08 /pmc/articles/PMC5943690/ /pubmed/29756022 http://dx.doi.org/10.1055/a-0581-7101 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Miyaoka, Youichi
Suemitsu, Shinsuke
Fujiwara, Aya
Kotani, Satoshi
Tsukano, Kosuke
Yamanouchi, Satoshi
Kusunoki, Ryusaku
Miyake, Tatsuya
Fujishiro, Hirofumi
Kohge, Naruaki
Yamamoto, Tomohiko
Amano, Yuji
Endoscopic submucosal dissection of early gastric cancer via inverted overtube in a patient with situs inversus totalis: a case report
title Endoscopic submucosal dissection of early gastric cancer via inverted overtube in a patient with situs inversus totalis: a case report
title_full Endoscopic submucosal dissection of early gastric cancer via inverted overtube in a patient with situs inversus totalis: a case report
title_fullStr Endoscopic submucosal dissection of early gastric cancer via inverted overtube in a patient with situs inversus totalis: a case report
title_full_unstemmed Endoscopic submucosal dissection of early gastric cancer via inverted overtube in a patient with situs inversus totalis: a case report
title_short Endoscopic submucosal dissection of early gastric cancer via inverted overtube in a patient with situs inversus totalis: a case report
title_sort endoscopic submucosal dissection of early gastric cancer via inverted overtube in a patient with situs inversus totalis: a case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5943690/
https://www.ncbi.nlm.nih.gov/pubmed/29756022
http://dx.doi.org/10.1055/a-0581-7101
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