| Theme | Complications and their Managements for Gastrointestinal Endoscopy | |
|---|---|---|
| Title | Strategies for Complications after Esophageal Endoscopic Mucosal Resection | |
| Publish Date | 2002/07 | |
| Author | Kimiya Takeshita | Department of Endoscopic Diagnostics and Therapeutics, Tokyo Medical and Dental University Hospital |
| Author | Masao Tani | Department of Surgery, Tokyo Medical and Dental University Hospital |
| Author | Tatsuyuki Kawano | Department of Surgery, Tokyo Medical and Dental University Hospital |
| Author | Tetsuro Nishikage | Department of Surgery, Tokyo Medical and Dental University Hospital |
| [ Summary ] | Sufficient amounts of saline injected into the submucosa, to separate mucosa from the proper muscle layer, is an effective method for preventing perforations during endoscopic mucosal resection (EMR). Injuries to the proper muscle layer are a cause of perforations. In cases with bleeding after EMR, clipping or elctrocauterization of bleeding vessels, using a plastic cap is also effective. In cases of (semi-)circular resection, endoscopic dilatation with dilators plays an important role in preventing luminal stenosis. | |