In case 2, esophageal

varices with active bleeding were ligated, and injected tissue glue at the bleeding spots of gastric varices. We succeeded to stop the bleeding in both case 1 and 2. In case 3, the stomach was filled with a lot of blood clots and dark red blood. The patient was urgently transferred to artery embolism treatment, but still died after the operation because of pulmonary www.selleckchem.com/products/r428.html infection, hemorrhagic shock and cardiac insufficiency. Emergency endoscopy associated mortality was zero. Conclusion: Emergency endoscopic hemostatic for liver transplantation patients with massive UGB was safe and effective. And the doctors and nurses should make well preparation and cooperation, pay close attention to the patients and keep clear of the endoscopic view, chose the most appropriate hemostatic method in order to reduce the fatality rate. Key Word(s): 1. liver transplantation; 2. gastrointestinal

hemorrhage; 3. gastroscopy; 4. perioperative Presenting Author: TADATERU MAEHATA Additional Authors: OSAMU GOTO, RYO MORITA, MIDORI SUZUKI, YOSHINORI SATO, SHINYA ISHIGOOKA, SHUN ICHIRO OZAWA, KOSUKE HOSOYA, YASUMASA MATSUO, MASAKI YAMASHITA, HIROYUKI YAMAMOTO, HIROSHI YASUDA, FUMIO ITOH Corresponding Author: TADATERU MAEHATA Affiliations: Keio University, St. Marianna University School of Medicine, St. Marianna PD0325901 University School of Medicine,

St. Marianna University School of Medicine, St. Marianna University School of Medicine, St. Marianna University School of Medicine, St. Marianna University School of Medicine, St. Marianna University School of Medicine, St. Marianna University School of Medicine, St. Marianna University School of Medicine, St. Marianna University School of Medicine, St. Marianna University School of Medicine Objective: Recently, ESD has been widely accepted as a curative, less-invasive treatment for early gastric cancer and contributes greatly to the preservation of gastric function. In clinical practice, however, for cases not indicated for 17-DMAG (Alvespimycin) HCl ESD, we occasionally encounter treatments such as diagnostic ESD that are considered overindications. Some cases result in incomplete resection because of positive vertical margins. In this study, we examined the limitations of ESD (conditions of lesions worthy of full-thickness resection) by identifying the clinicopathological factors involved in positive vertical margins (pVM1) among cases of early gastric cancer resected using ESD. Methods: The therapeutic outcomes of ESD were retrospectively assessed for 478 patients with 490 EGC lesions resected en bloc with ESD at the St. Marianna University Hospital, Kanagawa, from June 2005 to December 2013. All cases were categorized into the pVM1 and pVM0 groups.