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Japanese

Laparoscopic gastrectomy for diffuse antral vascular ectasia with complete situs inversus after coronary artery bypass grafting using the gastroepiploic artery : Report of a case Takeshi FUJITA 1 , Toshikazu KANAI 1 , Manpei YAMASHITA 1 , Kazuhisa HIRAYAMA 1 , Yoshito IKEMATSU 1 , Yoshiro NISHIWAKI 1 1Department of Gastrointestinal Surgery, Hamamatsu Medical Center Keyword: 内臓逆位 , 冠動脈バイパス術後 , 腹腔鏡下手術 pp.661-667
Published Date 2015/11/15
DOI https://doi.org/10.11477/mf.4426200197
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A 72-year-old man with complete situs inversus who underwent coronary artery bypass graft twelve years ago complained of dizziness and developed tarry stool and severe anemia during medical follow up. Upper gastrointestinal endoscopy revealed diffuse antral vascular ectasia(DAVE) and we considered it was the cause of the bleeding. Argon plasma coagulation was performed, but the patient was repeatedly transfused for intermittent tarry stools due to recurrence of the DAVE and we performed laparoscopic distal gastrectomy(LDG) preserving the gastroepiploic artery graft. Preoperative 3-dimensional(3D) CT showed in detail, the vascular anomaly and the location of gastroepiploic artery which bypassed to the right coronary artery. To our knowledge, it is the first case of recurrent DAVE with complete situs inversus treated with LDG preserving the GEA graft.


Copyright © 2015, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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