Delayed perforation after endoscopic submucosal dissection for early gastric cancer: Clinical features and treatment

被引：14

作者：

Yano, Takafumi ^{[1
]}

Tanabe, Satoshi ^{[2
]}

Ishido, Kenji ^{[1
]}

Azuma, Mizutomo ^{[1
]}

Wada, Takuya ^{[1
]}

Suzuki, Mizuto ^{[1
]}

Kawanishi, Natsuko ^{[1
]}

Yamane, Sakiko ^{[1
]}

Sasaki, Tohru ^{[1
]}

Katada, Chikatoshi ^{[1
]}

Mikami, Tetsuo ^{[3
]}

Katada, Natsuya ^{[4
]}

Koizumi, Wasaburo ^{[1
]}

机构：

[1] Kitasato Univ, Sch Med, Dept Gastroenterol, 1-15-1 Kitasato, Sagamihara, Kanagawa 2520374, Japan

[2] Kitasato Univ, Sch Med, Res & Dev Ctr New Frontiers, 1-15-1 Kitasato, Sagamihara, Kanagawa 2520374, Japan

[3] Toho Univ, Sch Med, Dept Pathol, Tokyo 1438540, Japan

[4] Kitasato Univ, Sch Med, Dept Surg, 1-15-1 Kitasato, Sagamihara, Kanagawa 2520374, Japan

来源：

WORLD JOURNAL OF GASTROINTESTINAL ENDOSCOPY | 2016年 / 8卷 / 08期

关键词：

Endoscopic submucosal dissection; Early gastric cancer; Delayed perforation;

D O I：

10.4253/wjge.v8.i8.368

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Perforation is an important procedural complication of endoscopic submucosal dissection (ESD) for early gastric cancer. Although the incidence of delayed perforation after ESD is low, extreme caution is necessary because many cases require surgical intervention. Among 1984 lesions of early gastric cancer treated in our hospital by ESD in 1588 patients from September 2002 through March 2015, delayed perforation developed in 4 patients (4 lesions, 0.25%). A diagnosis of delayed perforation requires prompt action, including surgical intervention when required. (C) The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.

引用

页码：368 / 373

页数：6

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