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A 44-year-old man with a history of gastric cancer that was treated with distal gastrectomy 4 years ago underwent upper endoscopic examination in a follow-up study. The endoscopic examination revealed an elevated lesion 8 mm in size in the lower oesophagus (figure 1A) and narrow band imaging (NBI) endoscopy showed vascular augmentation as brownish spots on the surface of the elevated lesion (figure 1B). There was no abnormality in the stomach and oesophagus–squamous junction. Physical examination and a routine blood test, including …
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