Post written by Satoki Shichijo, MD, PhD, from Osaka International Cancer Institute, Osaka, Japan. Endoscopic submucosal dissection (ESD) was performed for 1763 patients with 1845 lesions (right-sided colon, 1018; left-sided colon, 827) between February 2011 and April 2023. Thirty-two delayed perforations (26 between 2011 and 2020; 6 between 2021 and 2023) occurred. Muscle injury occurred during ESD …
Tag: perforation
A multistep approach for managing a complex esophageal perforation
Post written by Dronamraju Sujay Prabhath, MD, Shiran Shetty, DM, Balaji Musunuri, DNB, and Praveen M.C.S., MD, from the Department of Gastroenterology and Hepatology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Karnataka, India. An 85-year-old man with severe chest pain, difficulty breathing, and decreased air entry in the right-lower lung zone after endoscopic dilatation of a benign esophageal stricture was diagnosed with …
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Management of ERCP-related perforation: a large multicenter study
Post written by Tomoya Emori, MD, PhD, from Wakayama Rosai Hospital, Wakayama, Japan. This study retrospectively evaluated the characteristics and clinical outcomes of patients with ERCP-related duodenal perforations according to the mechanism of injury. Perforation is a rare but serious adverse event associated with ERCP. There is no consensus to guide clinicians in the management of ERCP-related …
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Top tips for the management of iatrogenic colon perforations
Post written by Mark Benson, MD, from the University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA. Colonoscopy is one of the most common endoscopic procedures completed throughout the world. Although rare, procedure-related perforations are one of the most feared adverse events of colonoscopy because of the potential for unfavorable patient outcomes. The focus …
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Endoscopic vacuum therapy
Post written by Samuel Han, MD, MS, from the Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA, and Mohit Girotra, MD, FASGE, and the Digestive Health Institute, Swedish Medical Center, Seattle, Washington, USA. The goal of this Technology Status Evaluation Report was to discuss the indications for performing endoscopic vacuum therapy (EVT) and outline various techniques for …
Perforation closure using polyglycolic acid sheets and fibrin glue
Yoshiki Sakaguchi, MD, PhD, Yosuke Tsuji, MD, PhD, Kazuhiko Koike, MD, PhD, Mitsuhiro Fujishiro, MD, PhD, and Kazuhiko Koike, MD, PhD from the University of Tokyo in Tokyo, Japan discuss their video case "Successful closure of a large perforation during colorectal ESD by application of polyglycolic acid sheets and fibrin glue." The shielding method with polyglycolic …
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Large muscle-layer defect closed using endoloop-clips technique
Motohiko Kato, MD, PhD, and Toshio Uraoka, MD, PhD, from the Department of Gastroenterology, National Hospital Organization, Tokyo Medical Center, in Tokyo, Japan share this video case "A large muscle-layer defect of the stomach caused by endoscopic submucosal dissection is closed by using the endoloop-clips technique." Endoscopic submucosal dissection (ESD) can remove endoscopically even for …
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Perforation in colorectal stenting
Emo E. van Halsema, MSc discusses this Original Article "Perforation in colorectal stenting: a meta-analysis and a search for risk factors" from the June issue. We performed a meta-analysis of the literature to identify risk factors for perforation from colonic stent placement. A total of 86 studies published between 2005 and 2011 were selected, including …
Predictors of incomplete resection and perforation for ESD
Nana Hayashi, MD from Hiroshima University Hospital in Hiroshima, Japan discusses her Original Article "Predictors of incomplete resection and perforation associated with endoscopic submucosal dissection for colorectal tumors." Predictors of incomplete resection and perforation can include lesion size, growth type, pathological diagnosis, use of hemostatic forceps, degree of fibrosis, history of biopsy, history of local …
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