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Precordial skin burns after endoscopic submucosal dissection for gastric tube cancer
Author(s) -
Miyagi Motoshi,
Yoshio Toshiyuki,
Hirasawa Toshiaki,
Ishiyama Akiyoshi,
Yamamoto Yorimasa,
Tsuchida Tomohiro,
Fujisaki Junko,
Igarashi Masahiro
Publication year - 2015
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/den.12494
Subject(s) - medicine , perforation , endoscopic submucosal dissection , surgery , cancer , complication , dissection (medical) , precordial examination , stomach , materials science , metallurgy , electrocardiography , punching
Background and Aim Endoscopic submucosal dissection (ESD) is useful as a minimally invasive treatment option for early gastric cancer. ESD is also used in the management of postoperative remnant gastric cancers in the stomach and gastric tube cancers. Perforation and delayed bleeding have been the main complications of ESD reported in the management of gastric tube cancer. However, in the current literature, there is no description of precordial skin burns caused by electrical coagulation. Methods While we treated 22 patients with gastric tube cancers by ESD from 2005 to 2014, we experienced five skin burns in four patients after ESD. We retrospectively analyzed clinical characteristics of precordial skin burn as a complication of ESD. Results All skin burns occurred in patients reconstructed using a presternal route, whose incidence of precordial skin burn was 55.6%. In all cases, lesions were located in the upper or middle third of gastric tubes irrespective of their direction. Skin burn developed on postoperative day (POD) 1 or POD 2, taking 4–7 days to heal and was accompanied by high fever in 60% of cases. Conclusion The present study suggests that when carrying out ESD for gastric tube cancer using the presternal route, it is necessary to consider the occurrence of a precordial skin burn as a possible complication.