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


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.


METHODS
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.
Tsunada
Seiji
S
Department of Internal Medicine and Endoscopy, Saga Medical School, Saga, Japan.
Ogata
Shinichi
S
Ohyama
Takashi
T
Ootani
Hibiki
H
Oda
Kayoko
K
Kikkawa
Atsushi
A
Ootani
Akifumi
A
Sakata
Hiroyuki
H
Iwakiri
Ryuichi
R
Fujimoto
Kazuma
K
D000368:Aged; D000369:Aged, 80 and over; D013505:Digestive System Surgical Procedures / Q000295:instrumentation*; D016099:Endoscopy, Gastrointestinal / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000601:surgery*