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Successful closing of duodenal ulcer after endoscopic submucosal dissection with over‐the‐scope clip to prevent delayed perforation
Author(s) -
Mori Hirohito,
Shintaro Fujihara,
Kobara Hideki,
Nishiyama Noriko,
Rafiq Kazi,
Kobayashi Mitsuyoshi,
Nakatsu Toshiaki,
Miichi Noboru,
Suzuki Yasuyuki,
Masaki Tsutomu
Publication year - 2013
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/j.1443-1661.2012.01363.x
Subject(s) - medicine , endoscopic submucosal dissection , perforation , closing (real estate) , surgery , duodenal ulcer , dissection (medical) , general surgery , materials science , punching , metallurgy , political science , law
Closure of post‐endoscopic submucosal dissection ( ESD ) duodenal artificial ulcer is not common in the clinical setting. We consider that post‐ ESD ulcer closure by an over‐the‐scope‐clip ( OTSC ) method is one of the most effective ways to prevent delayed perforation. We report here two cases of mucosal duodenal cancer in a 65‐year‐old woman and in a 78‐year‐old man. Pathological examinations of the resected specimens revealed well‐differentiated adenocarcinomas. In these two clinical cases, we successfully carried out complete closures of post‐ ESD duodenal ulcer using OTSC without any complications.