Multifocal Gastric Neoplasia after Recurrent Laser Therapy for the Watermelon Stomach

Repeated laser therapy has become an accepted therapeutic approach in the treatment of watermelon stomach, and to date no important negative sequelae have been reported. The case of a pati...

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Main Authors: Charles N Bernstein, Norman Pettigrew, Kenneth K Wang, Howard Greenberg, Jeremy Lipschitz
Format: Article
Language:English
Published: Wiley 1997-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/1997/967506
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author Charles N Bernstein
Norman Pettigrew
Kenneth K Wang
Howard Greenberg
Jeremy Lipschitz
author_facet Charles N Bernstein
Norman Pettigrew
Kenneth K Wang
Howard Greenberg
Jeremy Lipschitz
author_sort Charles N Bernstein
collection DOAJ
description Repeated laser therapy has become an accepted therapeutic approach in the treatment of watermelon stomach, and to date no important negative sequelae have been reported. The case of a patient who underwent repeated sessions of neodymium: yttrium aluminum garnet (Nd:YAG) laser therapy over a five-year period for the treatment of the watermelon stomach is presented. Postlaser therapy the patient developed deep ulcerations that would heal; however, he ultimately developed a nodular antrum. Random biopsies of antral nodules revealed carcinoma-in-situ. A Billroth I gastrectomy revealed two foci of carcinoma-in-situ/high grade dysplasia and multiple foci of lower grades of dysplasia. This case suggests a possible association between use of laser therapy and development of gastric neoplasia.
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series Canadian Journal of Gastroenterology
spelling doaj-art-03afe66879a34d76b977d7402dc9e6782025-02-03T05:51:55ZengWileyCanadian Journal of Gastroenterology0835-79001997-01-0111540340610.1155/1997/967506Multifocal Gastric Neoplasia after Recurrent Laser Therapy for the Watermelon StomachCharles N Bernstein0Norman Pettigrew1Kenneth K Wang2Howard Greenberg3Jeremy Lipschitz4Departments of Medicine, Pathology, Radiology and Surgery, University of Manitoba, Winnipeg, Manitoba, CanadaDepartments of Medicine, Pathology, Radiology and Surgery, University of Manitoba, Winnipeg, Manitoba, CanadaDepartment of Medicine, Mayo School of Medicine, Rochester, Minnesota, CanadaDepartment of Medicine, Mayo School of Medicine, Rochester, Minnesota, CanadaDepartments of Medicine, Pathology, Radiology and Surgery, University of Manitoba, Winnipeg, Manitoba, CanadaRepeated laser therapy has become an accepted therapeutic approach in the treatment of watermelon stomach, and to date no important negative sequelae have been reported. The case of a patient who underwent repeated sessions of neodymium: yttrium aluminum garnet (Nd:YAG) laser therapy over a five-year period for the treatment of the watermelon stomach is presented. Postlaser therapy the patient developed deep ulcerations that would heal; however, he ultimately developed a nodular antrum. Random biopsies of antral nodules revealed carcinoma-in-situ. A Billroth I gastrectomy revealed two foci of carcinoma-in-situ/high grade dysplasia and multiple foci of lower grades of dysplasia. This case suggests a possible association between use of laser therapy and development of gastric neoplasia.http://dx.doi.org/10.1155/1997/967506
spellingShingle Charles N Bernstein
Norman Pettigrew
Kenneth K Wang
Howard Greenberg
Jeremy Lipschitz
Multifocal Gastric Neoplasia after Recurrent Laser Therapy for the Watermelon Stomach
Canadian Journal of Gastroenterology
title Multifocal Gastric Neoplasia after Recurrent Laser Therapy for the Watermelon Stomach
title_full Multifocal Gastric Neoplasia after Recurrent Laser Therapy for the Watermelon Stomach
title_fullStr Multifocal Gastric Neoplasia after Recurrent Laser Therapy for the Watermelon Stomach
title_full_unstemmed Multifocal Gastric Neoplasia after Recurrent Laser Therapy for the Watermelon Stomach
title_short Multifocal Gastric Neoplasia after Recurrent Laser Therapy for the Watermelon Stomach
title_sort multifocal gastric neoplasia after recurrent laser therapy for the watermelon stomach
url http://dx.doi.org/10.1155/1997/967506
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