کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3266550 1207850 2006 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Non-surgical management of microperforation induced by EMR of the stomach
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی غدد درون ریز، دیابت و متابولیسم
پیش نمایش صفحه اول مقاله
Non-surgical management of microperforation induced by EMR of the stomach
چکیده انگلیسی

BackgroundPerforation and bleeding are major complications associated with gastric endoscopic mucosal resection. Evident perforation during endoscopic mucosal resection can be managed by endoscopic clipping. However, management of microperforation is not well established.Patient and methodFrom January 2002 to June 2004, 109 early gastric cancers and 300 adenomas were treated with endoscopic mucosal resection. Iatrogenic perforations occurred in 4.16% (n = 17) patients. Following exclusion of four evident perforations, microperforation was observed in 3.18% (n = 13) patients. The clinical features of microperforation in patients were retrospectively reviewed.ResultsIn a total of 13 microperforation cases, 2 patients were managed surgically. The remaining patients successfully recovered without surgical management. In the case of 11 patients without surgery, 7 experienced abdominal pain, which required analgesics, 2 patients experienced mild discomfort and 2 patients experienced no symptoms. A body temperature above 37.5 °C was observed in 9.1% (n = 1) patients and leucocytosis above 9000 μL−1 was in 72.7% (n = 8) patients. The mean duration of nasogastric tube drainage was 2.36 ± 1.03 days, of fasting 4.18 ± 1.17 days, of intravenous antibiotics 5.55 ± 1.44 days and of hospitalisation 7.45 ± 1.04 days.ConclusionMicroperforation induced by gastric endoscopic mucosal resection can be managed successfully using a non-surgical approach including fasting, nasogastric tube drainage and intravenous antibiotics.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Digestive and Liver Disease - Volume 38, Issue 8, August 2006, Pages 605–608
نویسندگان
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