Your browser doesn't support javascript.
loading
[A Case of Transverse Colon Cancer with Gastrointestinal Amyloidosis Prevented from Anastomotic Leakage by Multidimensional Approach].
Kusudo, Natsuki; Suzuki, Takuya; Uehara, Shuhei; Kato, Akira; Fujii, Yoshiaki; Harata, Shinnosuke; Watanabe, Kaori; Yanagita, Takeshi; Ushigome, Hajime; Ogawa, Ryo; Takahashi, Hiroki; Matsuo, Yoichi; Mitsui, Akira; Kimura, Masahiro; Takiguchi, Shuji.
Affiliation
  • Kusudo N; Dept. of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences.
Gan To Kagaku Ryoho ; 51(1): 90-92, 2024 Jan.
Article in Ja | MEDLINE | ID: mdl-38247102
ABSTRACT
The patient was a 68-year-old woman who was on hemodialysis due to systemic amyloidosis and nephrotic syndrome. Biopsy revealed amyloid deposition in the stomach, duodenum, and colon. A transverse colon tumor was found on a follow- up CT after the aortic dissection surgery. We performed lower gastrointestinal endoscopy and contrast-enhanced CT and diagnosed transverse colon cancer with gastric wall infiltration(cStage Ⅲc). We considered that transverse colon resection was oncologically sufficient. However, due to concurrent gastrointestinal amyloidosis, which increased the risk of anastomotic leakage we performed laparoscopic extended right hemicolectomy to avoid colon-colon anastomosis with partial gastrectomy. Additionally intraoperative indocyanine green(ICG)fluorescence imaging showed that the fluorescence signal in the small intestinal wall was satisfactory, while it was weak in the colon wall. As a result, we suspected of impaired blood flow of colon wall due to an amyloidosis, so we additionally created a loop ileostomy. It is said that gastrointestinal amyloidosis raises the risk of anastomotic leakage. A case of transverse colon cancer complicated by gastrointestinal amyloidosis in which we successfully prevented anastomotic leakage through a multidimensional evaluation and approach is reported, along with a literature review.
Subject(s)
Search on Google
Collection: 01-internacional Health context: 3_ND Database: MEDLINE Main subject: Colonic Neoplasms / Colon, Transverse / Gastrointestinal Diseases / Amyloidosis Limits: Aged / Female / Humans Language: Ja Journal: Gan To Kagaku Ryoho Year: 2024 Document type: Article
Search on Google
Collection: 01-internacional Health context: 3_ND Database: MEDLINE Main subject: Colonic Neoplasms / Colon, Transverse / Gastrointestinal Diseases / Amyloidosis Limits: Aged / Female / Humans Language: Ja Journal: Gan To Kagaku Ryoho Year: 2024 Document type: Article