Complete endoscopic closure of gastric perforation induced by endoscopic resection of early gastric cancer using endoclips can prevent surgery (with video)

被引：273

作者：

Minami, S ^{[1
]}

Gotoda, T ^{[1
]}

Ono, H ^{[1
]}

Oda, I ^{[1
]}

Hamanaka, H ^{[1
]}

机构：

[1] Natl Canc Ctr, Endoscopy Div, Chuo Ku, Tokyo 1040045, Japan

来源：

GASTROINTESTINAL ENDOSCOPY | 2006年 / 63卷 / 04期

关键词：

D O I：

10.1016/j.gie.2005.07.029

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Background: When gastric perforation occurs during endoscopic resection for early gastric cancer, a surgical treatment generally is performed. Considering the increasing number of EMRs and the possibility of perforation, our research sought to investigate whether endoscopic treatment for gastric perforation is possible. Methods: From 1987 to 2004, 121 of 2460 patients who underwent gastric EMR at the National Cancer Center Hospital had gastric perforation during EMR (4.9%). The initial 4 patients were treated with emergent surgery. The subsequent 117 patients who were treated with endoclips formed our study population. Results: Endoscopic closure with endoclips in 115 patients (98.3%) was successful. Two patients with unsuccessful endoscopic closure under-went emergent surgery. in the past 6 years, patients with perforation during gastric EMR treated with endoscopic closure had a recovery rate similar to that of the nonperforation cases. Conclusions: Gastric perforation during endoscopic resection can be conservatively treated by complete endoscopic closure with endoclips.

引用

页码：596 / 601

页数：6

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