Conservative treatment of phlegmonous gastritis that developed after gastric endoscopic submucosal dissection: A case report

Daisuke Takayanagi; Goro Shibukawa; Takumi Maki; Noriyuki Arakawa; Ryo Igarashi; Akane Yamabe; Mariko Fujisawa; Ai Sato; Atsushi Irisawa

doi:10.11280/gee.60.2284

Conservative treatment of phlegmonous gastritis that developed after gastric endoscopic submucosal dissection: A case report

Daisuke Takayanagi, Goro Shibukawa, Takumi Maki, Noriyuki Arakawa, Ryo Igarashi, Akane Yamabe, Mariko Fujisawa, Ai Sato, Atsushi Irisawa

Fukushima Medical University

Research output: Contribution to journal › Article › peer-review

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Abstract

A 91-year-old woman underwent gastric endoscopic submucosal dissection (ESD) for early gastric cancer. On the following morning, she complained of upper abdominal pain and fever, and inflammatory response markers were elevated in blood biochemistry tests. Computed tomography revealed no signs of pneumonia or free air, but the gastric wall was severely thickened. Esophagogastroduodenoscopy revealed diffuse edematous changes of the mucosa of the gastric corpus. A diagnosis of acute phlegmonous gastritis was made, and Tazobactam/Piperacillin administration was immediately initiated, after which her symptoms rapidly improved. Phlegmonous gastritis after gastric ESD is a rare but serious incidental condition that requires early diagnosis by diagnostic imaging and appropriate administration of sufficient doses of antibiotics.

Original language	English
Pages (from-to)	2284-2289
Number of pages	6
Journal	Gastroenterological Endoscopy
Volume	60
Issue number	10
DOIs	https://doi.org/10.11280/gee.60.2284
Publication status	Published - Oct 2018
Externally published	Yes

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title = "Conservative treatment of phlegmonous gastritis that developed after gastric endoscopic submucosal dissection: A case report",

abstract = "A 91-year-old woman underwent gastric endoscopic submucosal dissection (ESD) for early gastric cancer. On the following morning, she complained of upper abdominal pain and fever, and inflammatory response markers were elevated in blood biochemistry tests. Computed tomography revealed no signs of pneumonia or free air, but the gastric wall was severely thickened. Esophagogastroduodenoscopy revealed diffuse edematous changes of the mucosa of the gastric corpus. A diagnosis of acute phlegmonous gastritis was made, and Tazobactam/Piperacillin administration was immediately initiated, after which her symptoms rapidly improved. Phlegmonous gastritis after gastric ESD is a rare but serious incidental condition that requires early diagnosis by diagnostic imaging and appropriate administration of sufficient doses of antibiotics.",

author = "Daisuke Takayanagi and Goro Shibukawa and Takumi Maki and Noriyuki Arakawa and Ryo Igarashi and Akane Yamabe and Mariko Fujisawa and Ai Sato and Atsushi Irisawa",

year = "2018",

month = oct,

doi = "10.11280/gee.60.2284",

language = "English",

volume = "60",

pages = "2284--2289",

journal = "Gastroenterological Endoscopy",

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TY - JOUR

T1 - Conservative treatment of phlegmonous gastritis that developed after gastric endoscopic submucosal dissection

T2 - A case report

AU - Takayanagi, Daisuke

AU - Shibukawa, Goro

AU - Maki, Takumi

AU - Arakawa, Noriyuki

AU - Igarashi, Ryo

AU - Yamabe, Akane

AU - Fujisawa, Mariko

AU - Sato, Ai

AU - Irisawa, Atsushi

PY - 2018/10

Y1 - 2018/10

N2 - A 91-year-old woman underwent gastric endoscopic submucosal dissection (ESD) for early gastric cancer. On the following morning, she complained of upper abdominal pain and fever, and inflammatory response markers were elevated in blood biochemistry tests. Computed tomography revealed no signs of pneumonia or free air, but the gastric wall was severely thickened. Esophagogastroduodenoscopy revealed diffuse edematous changes of the mucosa of the gastric corpus. A diagnosis of acute phlegmonous gastritis was made, and Tazobactam/Piperacillin administration was immediately initiated, after which her symptoms rapidly improved. Phlegmonous gastritis after gastric ESD is a rare but serious incidental condition that requires early diagnosis by diagnostic imaging and appropriate administration of sufficient doses of antibiotics.

AB - A 91-year-old woman underwent gastric endoscopic submucosal dissection (ESD) for early gastric cancer. On the following morning, she complained of upper abdominal pain and fever, and inflammatory response markers were elevated in blood biochemistry tests. Computed tomography revealed no signs of pneumonia or free air, but the gastric wall was severely thickened. Esophagogastroduodenoscopy revealed diffuse edematous changes of the mucosa of the gastric corpus. A diagnosis of acute phlegmonous gastritis was made, and Tazobactam/Piperacillin administration was immediately initiated, after which her symptoms rapidly improved. Phlegmonous gastritis after gastric ESD is a rare but serious incidental condition that requires early diagnosis by diagnostic imaging and appropriate administration of sufficient doses of antibiotics.

UR - https://www.scopus.com/pages/publications/85055477605

U2 - 10.11280/gee.60.2284

DO - 10.11280/gee.60.2284

M3 - Article

AN - SCOPUS:85055477605

SN - 0387-1207

VL - 60

SP - 2284

EP - 2289

JO - Gastroenterological Endoscopy

JF - Gastroenterological Endoscopy

IS - 10

ER -

Conservative treatment of phlegmonous gastritis that developed after gastric endoscopic submucosal dissection: A case report

Abstract

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