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Summary
Phlegmonous gastritis can occur after endoscopic Indian ink injection for early gastric cancer. Proper instrument sterilization is crucial to prevent complications, and Indian ink marking remains a useful technique.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Endoscopic Procedures
Background:
- Early gastric carcinoma diagnosis and staging often involve endoscopic procedures.
- Indian ink injection is a common method for marking lesions during gastroscopy.
- Phlegmonous gastritis is a rare but serious complication of gastric procedures.
Observation:
- A case report details a 60-year-old woman with early gastric carcinoma.
- The patient developed phlegmonous gastritis after a gastroscopic Indian ink injection.
- The patient underwent Billroth II resection and recovered well.
Findings:
- The complication arose from Indian ink injection into the gastric mucosa.
- Prompt surgical intervention (Billroth II resection) led to a good outcome.
- Instrument disinfection and sterilization are critical to prevent infectious complications.
Implications:
- Highlights the risk of phlegmonous gastritis following endoscopic Indian ink marking.
- Emphasizes the paramount importance of strict aseptic techniques in gastrointestinal endoscopy.
- Recommends the continued judicious use of Indian ink for lesion localization in gastric procedures.