アクセス数 : ?
ダウンロード数 : ?
ID 111298
著者
Miyoshi, Takanori Tokushima Municipal Hospital
Aoyama, Mariko Tokushima Municipal Hospital
Hino, Naoki Tokushima Municipal Hospital
Yamasaki, Shinichi Tokushima Municipal Hospital
キーワード
esophageal carcinoma
Jehovah’s Witness
autologous blood transfusion
資料タイプ
学術雑誌論文
抄録
We report the case of a 50-year-old female Jehovah’s Witness with advanced esophageal cancer who underwent esophagectomy following induction chemotherapy. She visited our hospital complaining of dysphagia and was diagnosed of advanced esophageal cancer by upper endoscopy. She refused allogeneic transfusion. Induction chemotherapy was performed. Severe anemia occurred as an adverse event. A subtotal esophagectomy was performed after her anemia improved. During the surgery, a large volume of replacement fluid was injected, the blood was diluted, and intraoperative bleeding was relatively reduced. Intraoperative blood salvage was made using Cell Saver. The postoperative course were stable by using autologous blood and albumin infusion. The patient was discharged on postoperative day 27. Jehovah’s Witnesses with gastrointestinal malignancies can be treated safely by performing surgical therapy based on blood replacement therapy and autologous blood transfusion.
掲載誌名
The Journal of Medical Investigation
ISSN
13496867
13431420
cat書誌ID
AA11166929
AA12022913
出版者
Faculty of Medicine Tokushima University
62
3-4
開始ページ
264
終了ページ
267
並び順
264
発行日
2015-08
EDB ID
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
医学系