Publications by authors named "D Fukushima"
Background And Aims: Data regarding the status of the vertical margin of sessile serrated lesions (SSLs) resected using cold snare polypectomy (CSP) are lacking, and whether a histopathologically positive vertical margin is related to recurrence remains unclear. Therefore, this preliminary study aimed to clarify the rates of positive or unassessable vertical and horizontal margins and the rate of muscularis mucosae resection in SSLs treated using CSP compared with those treated with EMR.
Methods: Histologic outcomes of patients treated with CSP or EMR for SSLs were evaluated in this single-center observational study.
A 74-year-old man was admitted to our hospital with severe hematochezia. Abdominal enhanced computed tomography (CT) demonstrated extravasation of contrast material from the descending colon. Colonoscopy revealed recent bleeding in the descending colon diverticulum.
View Article and Find Full Text PDFWe report a case of a 70-year-old male with delayed perforation in the cecum treated by endoscopic ultrasonography-guided drainage for a pelvic abscess. The lesion was a 50-mm laterally spreading tumor, and endoscopic submucosal dissection (ESD) was performed. No perforation was detected during the operation, and en bloc resection was achieved.
View Article and Find Full Text PDFArticle Synopsis
- A 62-year-old woman with a small (6.3-mm) low-grade neuroendocrine tumor of the ampulla of Vater successfully underwent an endoscopic papillectomy.
- The procedure was complication-free, and during a follow-up period of 26 months, she showed no signs of local recurrence or metastasis.
- While the treatment of ampullary neuroendocrine tumors is debated, endoscopic papillectomy may be a viable option for tumors that are small, low-grade, and lack invasion into surrounding tissues.