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

• 作者: Chikatoshi Katada Kenji Ishido Mizuto Suzuki Mizutomo Azuma Natsuko Kawanishi Natsuya Katada Sakiko Yamane Satoshi Tanabe Takafumi Yano Takuya Wada Tetsuo Mikami Tohru Sasaki Wasaburo Koizumi
• 来源期刊: 世界胃肠内镜杂志：英文版（电子版）
• 学科: 医学
• 关键词: ENDOSCOPIC SUBMUCOSAL DISSECTION Early GASTRIC cancer DELAYED PERFORATION
• 年，卷（期）: 2016,（8）
• 页码范围: 368-373
• 页数: 6页
• 分类号: R

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.