title: Utility of the over-the-scope-clip system for treating a large esophageal perforation.
abstract: We report here a case of esophageal perforation made by an endoscope while treating cicatrical stenosis that developed after wide circumferential dissection of superficial esophageal carcinoma. Perforation closure with a conventional endoclip was difficult as the perforation was large and the surrounding tissue was fragile as a result of steroids administration for stenosis prevention. To avoid surgical intervention, we employed the over-the-scope-clip system and successfully closed the perforation. The favorable outcome suggests the utility of the over-the-scope-clip system for closing perforations when conventional methods are ineffective.
authors.affiliation: Division of Endoscopy, Shizuoka Cancer Center, Shimonagakubo 1007, Nagaizumi-cho, Sunto-Gun, Shizuoka 411-8777 Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Ono
authors.affiliation: Division of Endoscopy, Shizuoka Cancer Center, Shimonagakubo 1007, Nagaizumi-cho, Sunto-Gun, Shizuoka 411-8777 Japan.
authors.forename: Masaki
authors.initials: M
authors.lastname: Tanaka
authors.affiliation: Division of Endoscopy, Shizuoka Cancer Center, Shimonagakubo 1007, Nagaizumi-cho, Sunto-Gun, Shizuoka 411-8777 Japan.
authors.forename: Kohei
authors.initials: K
authors.lastname: Takizawa
authors.affiliation: Division of Endoscopy, Shizuoka Cancer Center, Shimonagakubo 1007, Nagaizumi-cho, Sunto-Gun, Shizuoka 411-8777 Japan.
authors.forename: Naomi
authors.initials: N
authors.lastname: Kakushima
authors.affiliation: Division of Endoscopy, Shizuoka Cancer Center, Shimonagakubo 1007, Nagaizumi-cho, Sunto-Gun, Shizuoka 411-8777 Japan.
authors.forename: Noboru
authors.initials: N
authors.lastname: Kawata
authors.affiliation: Division of Endoscopy, Shizuoka Cancer Center, Shimonagakubo 1007, Nagaizumi-cho, Sunto-Gun, Shizuoka 411-8777 Japan.
authors.forename: Kenichiro
authors.initials: K
authors.lastname: Imai
authors.affiliation: Division of Endoscopy, Shizuoka Cancer Center, Shimonagakubo 1007, Nagaizumi-cho, Sunto-Gun, Shizuoka 411-8777 Japan.
authors.forename: Kinichi
authors.initials: K
authors.lastname: Hotta
authors.affiliation: Division of Endoscopy, Shizuoka Cancer Center, Shimonagakubo 1007, Nagaizumi-cho, Sunto-Gun, Shizuoka 411-8777 Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Matsubayashi
keywords: Clips; Endoscopic surgical procedure; Esophageal perforation; Esophagus