{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T03:31:28Z","timestamp":1780543888706,"version":"3.54.1"},"reference-count":10,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2014,12,5]],"date-time":"2014-12-05T00:00:00Z","timestamp":1417737600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Digestive Endoscopy"],"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:p>The aim of the present report was to investigate the efficacy of local steroid injection and oral administration contralateral to a severe contracted scar of large endoscopic submucosal dissection (<jats:styled-content style=\"fixed-case\">ESD<\/jats:styled-content>) for gastric cancer. Among 254 cases that underwent gastric <jats:styled-content style=\"fixed-case\">ESD<\/jats:styled-content>, seven patients underwent resection of more than three\u2010quarters of the circumference of the stomach. Two patients were excluded because they did not meet curative resection criteria of <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>apan <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>astroenterological <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>ndoscopy <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>ociety. Therefore, in five patients, circumferentiality, symptom appearance period, and weight loss period were examined. Effect of a contralateral normal mucosa incision for releasing the stenosis followed by local injection and oral steroids were also examined. Abdominal bloating, vomiting, and loss of appetite appeared 42 days on average after gastric <jats:styled-content style=\"fixed-case\">ESD<\/jats:styled-content>, whereas weight loss &gt;5\u2009kg was observed an average of 52.6 days after gastric <jats:styled-content style=\"fixed-case\">ESD<\/jats:styled-content>. Average contralateral mucosal incision length was 51\u2009mm, whereas the average mucosal incision width was 31\u2009mm. All patients underwent a mucosal incision and were given a local injection of 100\u2009mg triamcinolone acetonide. Two patients received an additional 20\u2009mg oral steroid. In cases combined with oral steroid, there was no re\u2010stenosis after the mucosal incision, but two to three balloon dilatations were necessary in three cases in which oral steroids were not given. This method is considered useful for stenosis after large <jats:styled-content style=\"fixed-case\">ESD<\/jats:styled-content> for gastric cancer.<\/jats:p>","DOI":"10.1111\/den.12400","type":"journal-article","created":{"date-parts":[[2014,11,5]],"date-time":"2014-11-05T06:42:57Z","timestamp":1415169777000},"page":"622-626","source":"Crossref","is-referenced-by-count":11,"title":["Novel method for the management of stenosis after gastric endoscopic submucosal dissection: <scp>M<\/scp>ucosal incision with steroid injection contralateral to the severely contracted scar"],"prefix":"10.1111","volume":"27","author":[{"given":"Hirohito","family":"Mori","sequence":"first","affiliation":[{"name":"Department of Gastroenterology and Neurology Faculty of Medicine Kagawa University  Kagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideki","family":"Kobara","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Neurology Faculty of Medicine Kagawa University  Kagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazi","family":"Rafiq","sequence":"additional","affiliation":[{"name":"Department of Pharmacology Faculty of Medicine Kagawa University  Kagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noriko","family":"Nishiyama","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Neurology Faculty of Medicine Kagawa University  Kagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shintaro","family":"Fujihara","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Neurology Faculty of Medicine Kagawa University  Kagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tae","family":"Matsunaga","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Neurology Faculty of Medicine Kagawa University  Kagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maki","family":"Ayaki","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Neurology Faculty of Medicine Kagawa University  Kagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatsuo","family":"Yachida","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Neurology Faculty of Medicine Kagawa University  Kagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsutomu","family":"Masaki","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Neurology Faculty of Medicine Kagawa University  Kagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,12,5]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2003-41516"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.48.2.225"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-995741"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2009.25.4680"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2011.07.070"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2011.02.005"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.2005.088518"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1443-1661.2010.01008.x"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1309815"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1152\/physrev.2003.83.3.835"}],"container-title":["Digestive Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fden.12400","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fden.12400","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/den.12400","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T20:37:13Z","timestamp":1696365433000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/den.12400"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,12,5]]},"references-count":10,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2015,7]]}},"alternative-id":["10.1111\/den.12400"],"URL":"https:\/\/doi.org\/10.1111\/den.12400","archive":["Portico"],"relation":{},"ISSN":["0915-5635","1443-1661"],"issn-type":[{"value":"0915-5635","type":"print"},{"value":"1443-1661","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,12,5]]}}}