Yano T, Tanabe S, Ishido K, Azuma M, Wada T, Suzuki M, Kawanishi N, Yamane S, Sasaki T, Katada C, Mikami T, Katada N, Koizumi W. Delayed perforation after endoscopic submucosal dissection for early gastric cancer: Clinical features and treatment.
World J Gastrointest Endosc 2016;
8:368-373. [PMID:
27114751 PMCID:
PMC4835665 DOI:
10.4253/wjge.v8.i8.368]
[Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/26/2015] [Revised: 12/29/2015] [Accepted: 02/24/2016] [Indexed: 02/06/2023] Open
Abstract
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.
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