Open AccessDelayed perforation after endoscopic resection of a colonic laterally spreading tumor: A case report and literature review
Author(s) -
Ge-Yu-Jia Zhou,
Jinlong Hu,
Sheng Wang,
Nan Guo,
Liangzhong Xiang,
Guoxin Wang,
Siyu Sun,
Jintao Guo
Publication year - 2020
Publication title -
world journal of clinical cases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.368
H-Index - 10
ISSN - 2307-8960
DOI - 10.12998/wjcc.v8.i16.3608
Subject(s) - medicine , perforation , endoscopic mucosal resection , surgery , peritonitis , endoscopic submucosal dissection , complication , endoscopy , dissection (medical) , materials science , punching , metallurgy
Endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) have been widely used for the treatment of early gastrointestinal cancer. Endoscopic piecemeal mucosal resection (EPMR) is derived from the combination of EMR and ESD. Delayed perforation with peritonitis after colonic EPMR is a rare but severe complication, sometimes requiring surgery. There are some associated risk factors, including patient- (location, diameter, and presence of fibrosis) and procedure-related factors. Early recognition and timely treatment are crucial for its management.