Open AccessDelayed perforation after endoscopic submucosal dissection for early gastric cancer: Clinical features and treatment
Author(s) -
Takafumi Yano,
Satoshi Tanabe,
Kenji Ishido,
Mizutomo Azuma,
Teruaki Wada,
Mizuto Suzuki,
Natsuko Kawanishi,
Sakiko Yamane,
Takeshi Sasaki,
Chikatoshi Katada,
Tetsuo Mikami,
Natsuya Katada,
Wasaburo Koizumi
Publication year - 2016
Publication title -
world journal of gastrointestinal endoscopy
Language(s) - English
Resource type - Journals
ISSN - 1948-5190
DOI - 10.4253/wjge.v8.i8.368
Subject(s) - medicine , endoscopic submucosal dissection , perforation , surgery , complication , dissection (medical) , incidence (geometry) , cancer , materials science , punching , physics , optics , metallurgy
Perforation is an important procedural complication of endoscopic submucosal dissection (ESD) for early gastric cancer. Although the incidence of delayed perforation after ESD is low, extreme caution is necessary because many cases require surgical intervention. Among 1984 lesions of early gastric cancer treated in our hospital by ESD in 1588 patients from September 2002 through March 2015, delayed perforation developed in 4 patients (4 lesions, 0.25%). A diagnosis of delayed perforation requires prompt action, including surgical intervention when required.