| Theme | Perforation and it's Management in Endoscopy | |
|---|---|---|
| Title | Endoscopic Suturing Using Detachable Snares for Gastric Perforations Induced by Endoscopic Submucosal Dissection (ESD) | |
| Publish Date | 2010/02 | |
| Author | Eiji Ishii | Department of Gastroenterology, Kameda Medical Center |
| Author | Hiroshi Ito | Department of Gastroenterology, Kameda Medical Center |
| Author | Kazuhiro Fukatsu | Department of Gastroenterology, Kameda Medical Center |
| Author | Hiroyuki Fujii | Department of Gastroenterology, Kameda Medical Center |
| Author | Akiko Tomonari | Department of Gastroenterology, Kameda Medical Center |
| Author | Nobuto Hirata | Department of Gastroenterology, Kameda Medical Center |
| [ Summary ] | Gastric perforation is a major complication associated with endoscopic submucosal dissection (ESD). Most perforations can be closed with Endoclips. However, in rare caces it is difficult to do so. In these cases we use Detachable Snares for Endoscopic suturing. Detachable Snares are tightened after they are fixed with Endoclips at two points. It is comparatively easy to close a peforation by using 2 or 3 Detachable Snares. Three cases employing endoscopic suturing with Detachable Snares were performed and all cases exhibited normal recovery rates. This is not a technique which should be used frequently, but is useful when perforations cannot be closed with Endoclips alone. | |