Endoclipping for gastric perforation secondary to second session of EMRC in locally residual early gastric cancer: a case report.
A 72-year-old woman underwent gastric endoscopic mucosal resection with a cap-fitted endoscope for an adenocarcinoma in situ. She was scheduled for endoscopic follow-up at 1 and 3 months after the procedure. By the third month of follow up, biopsies of a slightly depressed scar area showed an high grade epithelial dysplasia. For this reason a second endoscopic resection (ER) was performed using the oblique soft cap. A perforation in the site of endoscopic resection was immediately observed. The complication was treated successfully by the application of seven clips.
De Caro
G
G
Department of Gastroenterology and Digestive Endoscopy Unit, IRCCS, Istituto Clinico Humanitas, Rozzano, MI, Italy.
Pagano
N
N
Malesci
A
A
Hervoso
C
C
Danese
S
S
Romeo
F
F
Delconte
G
G
Repici
A
A
D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D000368:Aged; D002921:Cicatrix / Q000473:pathology / Q000601:surgery; D005260:Female; D005773:Gastroscopy / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D007049:Iatrogenic Disease; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000601:surgery*; D013270:Stomach / Q000601:surgery; D013272:Stomach Diseases / Q000209:etiology* / Q000601:surgery; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*; D013525:Surgical Instruments