title: Endoscopic closure of perforations caused by EMR in the stomach by application of metallic clips.
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.
  
  
  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.
authors.affiliation: Department of Internal Medicine and Endoscopy, Saga Medical School, Saga, Japan.
authors.forename: Seiji
authors.initials: S
authors.lastname: Tsunada
authors.forename: Shinichi
authors.initials: S
authors.lastname: Ogata
authors.forename: Takashi
authors.initials: T
authors.lastname: Ohyama
authors.forename: Hibiki
authors.initials: H
authors.lastname: Ootani
authors.forename: Kayoko
authors.initials: K
authors.lastname: Oda
authors.forename: Atsushi
authors.initials: A
authors.lastname: Kikkawa
authors.forename: Akifumi
authors.initials: A
authors.lastname: Ootani
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Sakata
authors.forename: Ryuichi
authors.initials: R
authors.lastname: Iwakiri
authors.forename: Kazuma
authors.initials: K
authors.lastname: Fujimoto
mesh_terms: 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*