Clinical Factors of Delayed Perforation after Endoscopic Submucosal Dissection for Gastric Neoplasms
Joint Authors
Yamamoto, Yoshinobu
Nishisaki, Hogara
Sakai, Hideki
Tokuyama, Nagahiro
Sawai, Hiroaki
Sakai, Aya
Mimura, Takuya
Kushida, Saeko
Tsumura, Hidetaka
Sakamoto, Takeshi
Miki, Ikuya
Tsuda, Masahiro
Inokuchi, Hideto
Source
Gastroenterology Research and Practice
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-08-15
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
Delayed perforation is a rare but severe complication of endoscopic submucosal dissection (ESD) for early gastric neoplasm (EGN).
The aim of this study was to clarify clinical factors related to delayed perforation after ESD.
Methods.
A total of 1158 consecutive patients with 1199 EGNs underwent ESD at our hospital between January 2000 and December 2015.
Univariate analysis was used to identify clinicopathological factors related to delayed perforation.
Moreover, duration of cautery needed for hemostasis was measured by comparison between perforated and nonperforated points in patients with delayed perforation.
Results.
Delayed perforation occurred in 5 of 1158 consecutive patients with 1199 EGNs who underwent ESD (0.42%).
All cases were diagnosed within 24 h after ESD and recovered with conservative management.
On univariate analysis, location in the upper stomach was the factor most significantly associated with delayed perforation (P<0.01).
Duration of cautery needed for hemostasis was significantly longer at perforated points (9 s) than at nonperforated points (3.5 s) in five patients.
Conclusions.
Location in the upper stomach was the risk factor most prominently associated with delayed perforation after ESD for EGNs.
In addition, delayed perforation appears associated with excessive electrocautery for hemostasis.
American Psychological Association (APA)
Yamamoto, Yoshinobu& Nishisaki, Hogara& Sakai, Hideki& Tokuyama, Nagahiro& Sawai, Hiroaki& Sakai, Aya…[et al.]. 2017. Clinical Factors of Delayed Perforation after Endoscopic Submucosal Dissection for Gastric Neoplasms. Gastroenterology Research and Practice،Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1156596
Modern Language Association (MLA)
Yamamoto, Yoshinobu…[et al.]. Clinical Factors of Delayed Perforation after Endoscopic Submucosal Dissection for Gastric Neoplasms. Gastroenterology Research and Practice No. 2017 (2017), pp.1-8.
https://search.emarefa.net/detail/BIM-1156596
American Medical Association (AMA)
Yamamoto, Yoshinobu& Nishisaki, Hogara& Sakai, Hideki& Tokuyama, Nagahiro& Sawai, Hiroaki& Sakai, Aya…[et al.]. Clinical Factors of Delayed Perforation after Endoscopic Submucosal Dissection for Gastric Neoplasms. Gastroenterology Research and Practice. 2017. Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1156596
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1156596