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Review
, 323 (7326), 1413-6

ABC of the Upper Gastrointestinal Tract: Cancer of the Stomach and Pancreas

Review

ABC of the Upper Gastrointestinal Tract: Cancer of the Stomach and Pancreas

M J Bowles et al. BMJ.

Figures

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Figure
Endoscopic appearance of gastric carcinoma on the lesser curve of the stomach
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Barium meal showing large obstructing carcinoma of the body of the stomach
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Light micrograph of human stomach cancer. Most of the cells seen here are cancerous, having large, irregular shapes and multiple nuclei
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Total gastrectomy for treatment of gastric cancer (left) and subsequent reconstruction by Roux-en-Y anastomosis (right)
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Early gastric cancer. Top left: endoscopic appearance of cancer before dye spraying. Top right: the same lesion after spraying with 0.2% indigo carmine dye. Bottom left: lesion outlined by burn marks before excision. Bottom right: mucosal defect after removal of the lesion with 1 cm margin (blue colour is due to indigo carmine dye)
Figure
Figure
Early gastric cancer. Top left: endoscopic appearance of cancer before dye spraying. Top right: the same lesion after spraying with 0.2% indigo carmine dye. Bottom left: lesion outlined by burn marks before excision. Bottom right: mucosal defect after removal of the lesion with 1 cm margin (blue colour is due to indigo carmine dye)
Figure
Figure
Early gastric cancer. Top left: endoscopic appearance of cancer before dye spraying. Top right: the same lesion after spraying with 0.2% indigo carmine dye. Bottom left: lesion outlined by burn marks before excision. Bottom right: mucosal defect after removal of the lesion with 1 cm margin (blue colour is due to indigo carmine dye)
Figure
Figure
Early gastric cancer. Top left: endoscopic appearance of cancer before dye spraying. Top right: the same lesion after spraying with 0.2% indigo carmine dye. Bottom left: lesion outlined by burn marks before excision. Bottom right: mucosal defect after removal of the lesion with 1 cm margin (blue colour is due to indigo carmine dye)
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Computed tomogram showing dilated intrahepatic ducts caused by an obstructing lesion of the lower end of the common bile duct
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Endoscopic retrograde cholangiopancreatography showing lower common bile duct stricture (endoscope has been withdrawn)
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Fine needle aspiration of a pancreatic mass under computed tomographic guidance
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In Whipple's procedure for pancreatic cancer the head of the pancreas, distal common bile duct, gall bladder, duodenum, and distal stomach are excised (left). Reconstruction involves anastomosis of the pancreatic duct, common hepatic duct, and distal stomach to a loop of jejunum (right)
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Radiogram of stent placed to relieve duodenal obstruction caused by carcinoma of the pancreas

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