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Closure of a perforated endoscopic submucosal dissection eschar using three over-the-scope clips
Maria Manuela Estevinho1, Rolando Pinho2, João Carlos Silva2
1Gastroenterology, Centro Hospitalar Vila Nova de Gaia Espinho, Portugal.
Revista Espanola De Enfermedades Digestivas
|March 17, 2023
Summary
Endoscopic over-the-scope clips effectively closed a difficult perforation after endoscopic submucosal dissection (ESD). This endoscopic approach offers a safe alternative to surgery for iatrogenic perforations, minimizing patient risk.
Area of Science:
- Gastroenterology
- Endoscopic Surgery
Background:
- Endoscopic submucosal dissection (ESD) can lead to iatrogenic perforations.
- Prompt management of these perforations is crucial for patient safety.
Purpose of the Study:
- To report the successful endoscopic closure of a perforated ESD eschar.
- To highlight the feasibility of endoscopic treatment for complex iatrogenic perforations.
Main Methods:
- Utilized three partially overlapping over-the-scope clips.
- Applied clips to close a perforated ESD eschar.
Main Results:
- Achieved successful closure of the iatrogenic perforation.
- Demonstrated the effectiveness of over-the-scope clips in this challenging scenario.
Conclusions:
- Prompt endoscopic intervention is key for ESD safety.
- Endoscopic clipping is a viable alternative to surgery for iatrogenic perforations, reducing morbidity and mortality.
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