Open AccessPrevention of late complications of endoscopic resection of colorectal lesions with a coverage agent: Current status of gastrointestinal endoscopy
Author(s) -
Yandong Miao,
Xiaolong Tang,
Jiangtao Wang,
Deng-Hai Mi
Publication year - 2022
Publication title -
world journal of gastrointestinal oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.924
H-Index - 26
ISSN - 1948-5204
DOI - 10.4251/wjgo.v14.i2.543
Subject(s) - medicine , clips , perforation , endoscopy , surgery , endoscopic mucosal resection , adverse effect , concomitant , clipping (morphology) , therapeutic endoscopy , complication , linguistics , philosophy , materials science , punching , metallurgy
Endoscopic ectomy of large nonpedunculated colorectal lesions (≥ 20 mm) might cause significant adverse incidents, such as delayed perforation and delayed bleeding, despite the closure of mucosal lesions with clips. The conventional utilization of prophylactic clipping has not decreased the risk of postprocedural delayed adverse events, and additional outcomes and cost-effectiveness research is needed for patients with proximal lesions ≥ 20 mm, in whom prophylactic clipping might be useful. Coverage of the wound after endoscopic excision offers shield protection against delayed concomitant diseases.