| Theme | Countermeasures of adverse events in therapeutic endoscopy | |
|---|---|---|
| Title | Closure against perforation or other damage to muscle layers by OTSC (Over-The-Scope Clip) | |
| Publish Date | 2018/02 | |
| Author | Takashi Muramoto | Department of Endoscopy, NTT Medical Center Tokyo |
| Author | Ken Ohata | Department of Endoscopy, NTT Medical Center Tokyo |
| Author | Yoshiaki Kimoto | Department of Endoscopy, NTT Medical Center Tokyo |
| Author | Takafumi Konishi | Department of Endoscopy, NTT Medical Center Tokyo |
| Author | Rindo Ishii | Department of Endoscopy, NTT Medical Center Tokyo |
| Author | Sayaka Ogawa | Department of Endoscopy, NTT Medical Center Tokyo |
| Author | Ryoju Negishi | Department of Endoscopy, NTT Medical Center Tokyo |
| Author | Maiko Takita | Department of Endoscopy, NTT Medical Center Tokyo |
| Author | Eiji Sakai | Department of Endoscopy, NTT Medical Center Tokyo |
| [ Summary ] | Endoscopic submucosal dissection (ESD) for early colorectal tumors has been covered by Health Insurance in Japan since April 2012 on the basis of its effectiveness and safety. As techniques improve, even for lesions for which we avoided endoscopic treatment, and instead chose operations, ESD has come to be performed frequently. In order to provide safe and reliable treatment, it is important to respond promptly when adverse events such as perforations occur. It is essential to recognize the characteristics of OTSC and perform procedures such as closing methods to guard against perforations or damage to muscule layers, which are difficult to close with clips. | |