No abstract

A 65-year-old female with Barrett epithelization was reported. She suffered from esophagitis accompanying hiatal hernia. A Thirteen-centimeter wandering of the esophagogastric junction within five years was detected by following-up esophagoscopic examination.

Microwave endometrial ablation (MEA) is an effective treatment for menorrhagia and several reports have established its efficacy in treating menorrhagia. However, according to recent reports, relapse of menorrhagia can be one of the long-term clinical outcomes following MEA and often necessitates re-surgery. The authors present the case of a patient with severe abdominal pain for over a month due to a sudden enlarging myoma. Two and a half years prior, she had undergone MEA. Therefore, the patient needed an emergency hysterectomy. This is the first reported case of a rapidly enlarging myoma following MEA. Therefore, a patient who has undergone MEA must be followed up closely for at least three years.

No abstract

In late years, microwave endometrial ablation (MEA) has been attracting attention as an effective and minimally invasive treatment alternative to hysterectomy. Microwave irradiation removes whole endometrium including its basal layer and reduces the amount of menstrual bleeding. The authors performed MEA in 103 patients with hypermenorrhea from August 2007 to October 2012. As a note, all patients had no hope of delivering. Among those patients, 72 cases were able to be enrolled for the evaluation. Then, the effectiveness of MEA for the excessive menstruation was evaluated. As a result, the authors have reached the conclusion that MEA is a new effective treatment with safety and good cost performance for excessive menstruation. MEA should be considered as a standard treatment for the conservative therapy-resistant excessive menstruation.