A lesson from inappropriate single closure of a perforation during endoscopic submucosal dissection

Endoscopy 2018; 50(01): E25-E26
DOI: 10.1055/s-0043-121138

E-Videos

Yukie Sunata

¹Department of Gastroenterology, National Hospital Organization Tokyo Medical Center, Tokyo, Japan

,

Toshihiro Nishizawa

¹Department of Gastroenterology, National Hospital Organization Tokyo Medical Center, Tokyo, Japan

²Department of Gastroenterology and Hepatology, Keio University School of Medicine, Tokyo, Japan

³Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine, Tokyo, Japan

,

Satoshi Kinoshita

¹Department of Gastroenterology, National Hospital Organization Tokyo Medical Center, Tokyo, Japan

²Department of Gastroenterology and Hepatology, Keio University School of Medicine, Tokyo, Japan

³Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine, Tokyo, Japan

,

Kaoru Takabayashi

¹Department of Gastroenterology, National Hospital Organization Tokyo Medical Center, Tokyo, Japan

⁴Center for Diagnostic and Therapeutic Endoscopy, Keio University School of Medicine, Tokyo, Japan

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Toshio Uraoka

¹Department of Gastroenterology, National Hospital Organization Tokyo Medical Center, Tokyo, Japan

³Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine, Tokyo, Japan

References
1 Tanaka S, Kashida H, Saito Y. et al. JGES guidelines for colorectal endoscopic submucosal dissection/endoscopic mucosal resection. Dig Endosc 2015; 27: 417-434
2 Saito Y, Uraoka T, Matsuda T. et al. A pilot study to assess the safety and efficacy of carbon dioxide insufflation during colorectal endoscopic submucosal dissection with the patient under conscious sedation. Gastrointest Endosc 2007; 65: 537-542
3 Paspatis GA, Dumonceau JM, Barthet M. et al. Diagnosis and management of iatrogenic endoscopic perforations: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement. Endoscopy 2014; 46: 693-711
4 Matsuda T, Fujii T, Emura F. et al. Complete closure of a large defect after EMR of a lateral spreading colorectal tumor when using a two-channel colonoscope. Gastrointest Endosc 2004; 60: 836-838
5 Katsinelos P, Chatzimavroudis G, Terzoudis S. et al. The endoloop-clips technique for closure of large iatrogenic colonic perforations. Endoscopy 2010; 42: 343