| Theme | Countermeasures of adverse events in therapeutic endoscopy | |
|---|---|---|
| Title | Endoscopic suturing techniques for large defects after endoscopic resection using endoloop snare and metallic clip | |
| Publish Date | 2018/02 | |
| Author | Daisuke Hihara | Endoscopy Division, National Cancer Center Hospital |
| Author | Hiroyuki Takamaru | Endoscopy Division, National Cancer Center Hospital |
| Author | Taku Sakamoto | Endoscopy Division, National Cancer Center Hospital |
| Author | Masayoshi Yamada | Endoscopy Division, National Cancer Center Hospital |
| Author | Masau Sekiguchi | Endoscopy Division, National Cancer Center Hospital |
| Author | Takahisa Matsuda | Endoscopy Division, National Cancer Center Hospital |
| Author | Yutaka Saito | Endoscopy Division, National Cancer Center Hospital |
| [ Summary ] | Delayed complications such as bleeding and perforations can occur at the site of mucosal defects after endoscopic resection of colorectal tumors. To overcome these potential complications, a technique for complete closure of large mucosal defects is described. An endoloop/metallic clip method, which mimics surgical sutures, was developed for approximation of the borders and closure of large defects after endoscopic resection of colorectal tumors. The method can be performed with a single two-channel colonoscope by a single operator and can be used to close large defects immediately after endoscopic resection of colorectal tumors. We believe that closure of large mucosal defects by approximation of the mucosa promotes rapid wound healing and shields the submucosal vessels from mechanical trauma, thereby reducing the potential for delayed bleeding. | |