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, 57 (7), 948-51

Endoscopic Closure of Perforations Caused by EMR in the Stomach by Application of Metallic Clips

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Endoscopic Closure of Perforations Caused by EMR in the Stomach by Application of Metallic Clips

Seiji Tsunada et al. Gastrointest Endosc.

Abstract

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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