{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T13:48:21Z","timestamp":1768484901925,"version":"3.49.0"},"reference-count":10,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,2,17]],"date-time":"2020-02-17T00:00:00Z","timestamp":1581897600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This report describes a patient with early gastric cancer with gastroesophageal varices who underwent laparoscopic\u2010endoscopic cooperative surgery. The patient, a 75\u2010year\u2010old woman, was referred to our hospital for the treatment of gastric cancer. Esophagogastroduodenoscopy revealed a superficial spreading\u2010type tumor on the posterior wall of the upper third of the stomach that was very close to the gastric varices. Biopsy specimens showed a moderately differentiated tubular adenocarcinoma. Abdominal contrast\u2010enhanced CT showed an enhanced submucosal area with noticeably dilated veins around the perigastric region and no masses in the liver. The patient underwent local resection of the stomach using laparoscopic\u2010endoscopic cooperative surgery; this procedure was chosen because of the patient's risk of bleeding from the gastric varices in the area adjacent to the cancer during endoscopic submucosal dissection. Macroscopic examination of the resected specimen showed a superficial spreading lesion measuring 55\u2009\u00d7\u200950\u2009mm. The pathological diagnosis was moderately differentiated tubular adenocarcinoma invading the gastric submucosal layer without lymphovascular invasion.<\/jats:p>","DOI":"10.1111\/ases.12791","type":"journal-article","created":{"date-parts":[[2020,2,18]],"date-time":"2020-02-18T00:26:37Z","timestamp":1581985597000},"page":"539-543","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Laparoscopic\u2010endoscopic cooperative surgery for early gastric cancer with gastroesophageal varices"],"prefix":"10.1111","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8971-404X","authenticated-orcid":false,"given":"Tsutomu","family":"Namikawa","sequence":"first","affiliation":[{"name":"Department of Surgery Kochi Medical School  Nankoku Japan"},{"name":"Center for Photodynamic Medicine Kochi Medical School Hospital  Nankoku 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