Utility of the over-the-scope-clip system for treating a large esophageal perforation

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• 作者：Hiroyuki Ono ; Masaki Tanaka ; Kohei Takizawa ; Naomi Kakushima ; Noboru Kawata…
• 关键词：Clips ; Esophagus ; Endoscopic surgical procedure ; Esophageal perforation
• 刊名：Esophagus
• 出版年：2015
• 出版时间：July 2015
• 年：2015
• 卷：12
• 期：3
• 页码：336-339
• 全文大小：701 KB
• 参考文献：1.Ono H, Kondo H, Gotoda T, Shirao K, Yamaguchi H, Saito D, et al. Endoscopic mucosal resection for treatment of early gastric cancer. Gut. 2001;48(2):225鈥?.PubMed Central PubMed View Article
  2.Oyama T, Tomori A, Hotta K, Morita S, Kominato K, Tanaka M, et al. Endoscopic submucosal dissection of early esophageal cancer. Clin Gastroenterol Hepatol. 2005;3:S67鈥?0.PubMed View Article
  3.The Japan Esophageal Society : Esophageal cancer, diagnosis and treatment guideline, (in Japanese), 2012.
  4.Takahashi H, Arimura Y, Okahara S, Uchida S, Ishigaki S, Tsukagoshi H, et al. Risk of perforation during dilation for esophageal strictures after endoscopic resection in patients with early squamous cell carcinoma. Endoscopy. 2011;43:184鈥?.PubMed View Article
  5.Fujishiro M, Yahagi N, Kakushima N, Kodashima S, Muraki Y, Ono S, et al. Successful nonsurgical management of perforation complicating endoscopic submucosal dissection of gastrointestinal epithelial neoplasms. Endoscopy. 2006;38:1001鈥?.PubMed View Article
  6.Haito-Chavez Y, Joanna K. Law, Kratt T, Arezzo A, Verra M, Morino M, et al. International multicenter experience with an over-the-scope clipping device for endoscopic management of GI defects. Gastrointest Endosc. 2014 pii: S0016-5107.
  7.Nishiyama N, Mori H, Kobara H, Rafiq K, Fujihara S, Kobayashi M, et al. Efficacy and safety of over-the-scope clip: including complications after endoscopic submucosal dissection. World J Gastroenterol. 2013;19(18):2752鈥?0.PubMed Central PubMed View Article
  
• 作者单位：Hiroyuki Ono (1)
  Masaki Tanaka (1)
  Kohei Takizawa (1)
  Naomi Kakushima (1)
  Noboru Kawata (1)
  Kenichiro Imai (1)
  Kinichi Hotta (1)
  Hiroyuki Matsubayashi (1)
  
  1. Division of Endoscopy, Shizuoka Cancer Center, Shimonagakubo 1007, Nagaizumi-cho, Sunto-Gun, Shizuoka, 411-8777, Japan
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Gastroenterology
  Pathology
  Thoracic Surgery
  Surgical Oncology
  Oncology
  
• 出版者：Springer Japan
• ISSN：1612-9067

文摘

We report here a case of esophageal perforation made by an endoscope while treating cicatrical stenosis that developed after wide circumferential dissection of superficial esophageal carcinoma. Perforation closure with a conventional endoclip was difficult as the perforation was large and the surrounding tissue was fragile as a result of steroids administration for stenosis prevention. To avoid surgical intervention, we employed the over-the-scope-clip system and successfully closed the perforation. The favorable outcome suggests the utility of the over-the-scope-clip system for closing perforations when conventional methods are ineffective.