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Endoscopic closure of perforations caused by EMR in the stomach by application of metallic clips
Seiji Tsunada1, Shinichi Ogata, Takashi Ohyama
1Department of Internal Medicine and Endoscopy, Saga Medical School, Saga, Japan.
Background:
The number of complications associated with use of EMR for early-stage gastric cancer, including perforation, has increased with the increasing use of this procedure. Endoscopic clip application was performed in patients who sustained a perforation as a result of EMR for gastric neoplasm.
Patients And Methods:
Seven patients who underwent endoscopic application of metallic clips to close perforations were studied. The omental patch method was applied in one case with a large perforation.
Observations:
In all patients, endoscopic clip application successfully closed the perforation of the stomach, which occurred after EMR. No patient required laparotomy.
Conclusions:
The technique of endoscopic clip application might be useful for treatment of patients who sustain a perforation caused by EMR.
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