Successful closing of duodenal ulcer after endoscopic submucosal dissection with over-the-scope clip to prevent delayed perforation

被引：50

作者：

Mori, Hirohito ^{[1
]}

Shintaro, Fujihara ^{[1
]}

Kobara, Hideki ^{[1
]}

Nishiyama, Noriko ^{[1
]}

Rafiq, Kazi ^{[2
]}

Kobayashi, Mitsuyoshi ^{[1
]}

Nakatsu, Toshiaki

Miichi, Noboru

Suzuki, Yasuyuki ^{[3
]}

Masaki, Tsutomu ^{[1
]}

机构：

[1] Kagawa Univ, Dept Gastroenterol & Neurol, Sch Med, Miki, Kagawa 7610793, Japan

[2] Kagawa Univ, Dept Pharmacol, Sch Med, Miki, Kagawa 7610793, Japan

[3] Kagawa Univ, Dept Surg Gastroenterol, Sch Med, Miki, Kagawa 7610793, Japan

来源：

DIGESTIVE ENDOSCOPY | 2013年 / 25卷 / 04期

关键词：

delayed perforation; endoscopic submucosal dissection; over-the-scope clip;

D O I：

10.1111/j.1443-1661.2012.01363.x

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Closure of post-endoscopic submucosal dissection (ESD) duodenal artificial ulcer is not common in the clinical setting. We consider that post-ESD ulcer closure by an over-the-scope-clip (OTSC) method is one of the most effective ways to prevent delayed perforation. We report here two cases of mucosal duodenal cancer in a 65-year-old woman and in a 78-year-old man. Pathological examinations of the resected specimens revealed well-differentiated adenocarcinomas. In these two clinical cases, we successfully carried out complete closures of post-ESD duodenal ulcer using OTSC without any complications.

引用

页码：459 / 461

页数：3

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