| Theme |
Perforation and it's Management in Endoscopy |
| Title |
Prevention and Management of Perforations Associated with Endoscopic Mucosal Resection and Endoscopic Submucosal Dissection of Colorectal Tumors |
| Author |
Shiro Oka |
Department of Endoscopy, Hiroshima University Hospital |
| Author |
Shinji Tanaka |
Department of Endoscopy, Hiroshima University Hospital |
| Author |
Hiroyuki Kanao |
Department of Gastroenterology, Hiroshima University |
| Author |
Sayaka Oba |
Department of Gastroenterology, Hiroshima University |
| Author |
Aki Matsumoto |
Department of Gastroenterology, Hiroshima University |
| Author |
Kazuaki Chayama |
Department of Gastroenterology, Hiroshima University |
| [ Summary ] |
The main complications associated with EMR or ESD for colorectal tumors are bleeding and perforations. To prevent perforations, employment of appropriate techniques and careful observation of resected ulcers are both essential. When perforation occurs in a procedure, relevant judgment for proper management, such as clipping techniques, is necessary. Unsuccessful closure with clip placement or delayed perforation after the procedure require surgical procedures immediately to prevent severe peritonitis. |