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. 2003 Jun;57(7):948-51.
doi: 10.1016/s0016-5107(03)70051-0.

Endoscopic closure of perforations caused by EMR in the stomach by application of metallic clips

Seiji Tsunada  1 , Shinichi Ogata, Takashi Ohyama, Hibiki Ootani, Kayoko Oda, Atsushi Kikkawa, Akifumi Ootani, Hiroyuki Sakata, Ryuichi Iwakiri, Kazuma Fujimoto
Affiliations

Endoscopic closure of perforations caused by EMR in the stomach by application of metallic clips

Seiji Tsunada et al. Gastrointest Endosc. 2003 Jun.

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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