title: Endoscopic tissue shielding with polyglycolic acid sheets, fibrin glue and clips to prevent delayed perforation after duodenal endoscopic resection.
abstract: The incidence of delayed perforation after endoscopic resection for superficial non-ampullary duodenal epithelial tumors is extremely high. Endoscopic tissue shielding with polyglycolic acid (PGA) sheets and fibrin glue is a promising method to prevent delayed perforation after endoscopic resection in the duodenum. However, we often encounter difficulty when covering an artificial ulcer with PGA sheets after endoscopic resection. We report three cases of postoperative ulcers covered by PGA sheets, fibrin glue, and clips.
authors.affiliation: Department of Gastroenterology, Ishikawa Prefectural Central Hospital, Kanazawa, Japan.
authors.forename: Hisashi
authors.initials: H
authors.lastname: Doyama
authors.forename: Kei
authors.initials: K
authors.lastname: Tominaga
authors.forename: Naohiro
authors.initials: N
authors.lastname: Yoshida
authors.forename: Kenichi
authors.initials: K
authors.lastname: Takemura
authors.forename: Shinya
authors.initials: S
authors.lastname: Yamada
mesh_terms: D020341:Absorbable Implants; D000230:Adenocarcinoma / Q000175:diagnosis / Q000601:surgery*; D000368:Aged; D053704:Capsule Endoscopy / Q000009:adverse effects / Q000379:methods; D004379:Duodenal Neoplasms / Q000175:diagnosis / Q000601:surgery*; D004384:Duodenoscopy / Q000009:adverse effects / Q000379:methods*; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D005500:Follow-Up Studies; D006801:Humans; D007413:Intestinal Mucosa / Q000601:surgery; D007416:Intestinal Perforation / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D011100:Polyglycolic Acid / Q000494:pharmacology*; D011183:Postoperative Complications / Q000517:prevention & control; D018570:Risk Assessment; D012494:Sampling Studies; D013525:Surgical Instruments; D013997:Time Factors; D016896:Treatment Outcome; D058106:Wound Closure Techniques
chemical_list: D015718:Fibrin Tissue Adhesive; D011100:Polyglycolic Acid
keywords: delayed perforation; endoscopic resection; polyglycolic acid sheet; superficial non-ampullary duodenal epithelial tumor