Successful closing of duodenal ulcer after endoscopic submucosal dissection with over-the-scope clip to prevent delayed perforation.
Closure of post-endoscopic submucosal dissection (ESD) duodenal artificial ulcer is not common in the clinical setting. We consider that post-ESD ulcer closure by an over-the-scope-clip (OTSC) method is one of the most effective ways to prevent delayed perforation. We report here two cases of mucosal duodenal cancer in a 65-year-old woman and in a 78-year-old man. Pathological examinations of the resected specimens revealed well-differentiated adenocarcinomas. In these two clinical cases, we successfully carried out complete closures of post-ESD duodenal ulcer using OTSC without any complications.
Departments of Gastroenterology and Neurology, Kagawa University Medical School, Kagawa, Japan. hiro4884@med.kagawa-u.ac.jp
Hirohito
H
Mori
Fujihara
F
Shintaro
Hideki
H
Kobara
Noriko
N
Nishiyama
Kazi
K
Rafiq
Mitsuyoshi
M
Kobayashi
Toshiaki
T
Nakatsu
Noboru
N
Miichi
Yasuyuki
Y
Suzuki
Tsutomu
T
Masaki
D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D000368:Aged; D004379:Duodenal Neoplasms / Q000473:pathology / Q000601:surgery*; D004381:Duodenal Ulcer / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007413:Intestinal Mucosa / Q000473:pathology / Q000601:surgery*; D007416:Intestinal Perforation / Q000209:etiology / Q000517:prevention & control*; D008297:Male; D013536:Suture Techniques / Q000295:instrumentation*
delayed perforation; endoscopic submucosal dissection; over-the-scope clip