第5巻 2009年2月　第1号

■症例から学ぶ

出血性胃潰瘍（吐血）を契機に発見された同時性多発早期胃癌の1例
坊　英樹¹, 豊田　哲鎬¹, 近藤　恭司¹, 渡辺　昌則¹, 徳永　昭¹, 田尻　孝^2
1日本医科大学武蔵小杉病院消化器病センター
²日本医科大学大学院医学研究科臓器病態制御外科学

A Case of Gastric Cancer Diagnosed by Endoscopy Performed for Bleeding from a Coexisting Gastric Ulcer
Hideki Bou¹, Tetsutaka Toyoda¹, Kyouji Kondou¹, Masanori Watanabe¹, Akira Tokunaga¹ and Takashi Tajiri^2
1Institute of Gastroenterology, Nippon Medical School Musashi Kosugi Hospital
²Surgery for Organ Function and Biological Regulation, Graduate School of Medicine, Nippon Medical School

A 65-year-old man visited our hospital because of hematemesis. Endoscopic examination revealed a hemorrhagic gastric ulcer in the upper body of the stomach and also type IIc and type II a early gastric cancer. We performed total gastrectomy with a Roux-en-Y reconstruction. Thus, in cases of hematemesis originating from a stomach lesion, it is extremely important to closely examine not only the lesion itself, but also regions other than the lesion, especially in the anal aspect of the stomach, during endoscopy¹.

日医大医会誌 2009; 5(1), 53-56

Key words
early gastric cancer, gastric ulcer, hematomesis, gastroscope

Correspondence to
Hideki Bou, Institute of Gastroenterology, Nippon Medical School Musashi Kosugi Hospital, 1-396 Kosugi-cho, Nakahara-ku, Kawasaki, Kanagawa 211-8533, Japan
E-mail：bou@nms.ac.jp

受付：2008年12月5日　受理：2009年1月9日