The effectiveness of the clip-and-snare method, which is a traction method used during gastric endoscopic submucosal dissection (ESD), has been reported previously [1,2]. In previous reports, an additional forceps was required to deliver the snare to an anchored clip. However, this delivery technique is difficult and risks gastric tissue injury, especially when lesions are located in the upper ...

Gastric cancer is one of the most common cancers, which ranks third among leading causes death. Biopsy gastric mucosa a standard procedure in screening test. However, manual pathological inspection labor-intensive and time-consuming. Besides, it challenging for an automated algorithm to locate small lesion regions gigapixel whole-slide image make decision correctly. To tackle these issues, we c...

BACKGROUND Complete remission from advanced-stage synchronous double primary (SDP) esophageal and gastric adenocarcinoma by chemotherapy alone is rare. We report a case of advanced-stage SDP esophageal and gastric adenocarcinoma in which a complete response to treatment was obtained with S-1 and cis-diamminedichloroplatinum (CDDP). CASE PRESENTATION The patient was a 74-year-old man referred ...

Gastric hyperplastic polyps are often asymptomatic and are found incidentally at upper endoscopy performed for unrelated reasons. Although they are considered a benign lesion, all symptomatic polyps should be removed for a more reliable histological diagnosis, resolution of symptoms and to prevent potential malignant transformation. In fact, there are no significant difference between pure gast...

Gastric adenomyoma (GA) is a rare benign lesion, most frequently found in the pyloric/antral region of the stomach. It consists of a mixture of smooth muscle and glandular structures, occasionally cystically dilated, lined by tall columnar epithelium, Brunner’s glands, and sometimes pancreatic parenchyma. In this report, we describe an unusual case of adenomyoma of the fundus of the stomach, wh...

INTRODUCTION Cases of esophageal metastasis of breast cancer are extremely rare. We present the case of a patient who developed recurrence as esophageal metastasis following treatment of bilateral breast cancer. Early-stage gastric cancer was also found coincidentally. CASE PRESENTATION An 86-year-old Japanese female patient with a history of bilateral breast cancer was found to have a gastri...

A 38-year-old male patient presented to the emergency room due to acute epigastric pain, nausea and vomiting. Physical examination revealed tenderness in the upper abdomen. Body temperature was 37.3°C. C-reactive protein was 113 mg/L (reference range: 0-3 mg/L) and his white blood cell count was raised (15.5 x109/L; reference range: 3.5-8.8 x109/L). Renal and liver function tests and serum panc...

A 75-year-old female, who had an abnormal stomach x-ray finding, was admitted to the hospital for further examination and therapy. Upper GI endoscopy showed reddish and swollen folds on the greater curvature of the gastric body and a biopsy was of this lesion revealed malignant lymphoma (small cell type or mucosa-associated lymphoid tissue (MALT) lymphoma suspected). The patient was infected wi...

We experienced a case of gastric cancer that was prospectively followed up for 8 years. With severe heart disease, the patient did not wish surgery or anticancer drug treatment. After informed consent was obtained, he was followed up for 8 years. He received upper gastrointestinal endoscopy every year, which revealed IIc early gastric cancer, and biopsy showed well differentiated adenocarcinoma...