Year 2023 / Volume 115 / Number 12
Letter
Closure of a perforated endoscopic submucosal dissection eschar using three over-the-scope clips

731-732

DOI: 10.17235/reed.2023.9546/2023

Maria Manuela Estevinho, Rolando Pinho, João Carlos Silva, Teresa Freitas,

Abstract
We report the use of three partially overlapping over-the-scope clips to close a perforated ESD eschar. This case illustrates the relevance of prompt acting to ensure ESD safety and reinforces the feasibility of endoscopic treatment for challenging iatrogenic perforations, reducing the need for urgent surgery and its related morbidity and mortality.
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References
Esposito G, Pimentel-Nunes P, Angeletti S, et al. Endoscopic grading of gastric intestinal metaplasia (EGGIM): a multicenter validation study. Endoscopy 2019; 51: 515–521. doi:10.1055/a-0808-3186
Lee JWJ, Zhu F, Srivastava S, et al. Severity of gastric intestinal metaplasia predicts the risk of gastric cancer: a prospective multicentre cohort study (GCEP). Gut 2022; 71: 854–863. doi:10.1136/gutjnl-2021-324057
Hatta W, Tsuji Y, Yoshio T, et al. Prediction model of bleeding after endoscopic submucosal dissection for early gastric cancer: BEST-J score. Gut 2021; 70: 476–484. doi:10.1136/gutjnl-2019-319926
Miao T, Zhang Y, Bai L, et al. Vonoprazan vs. lansoprazole for the treatment of endoscopic submucosal dissection induced gastric ulcer: a systematic review and meta-analysis. Rev Esp Enferm Dig. 2022 Jul 28. doi: 10.17235/reed.2022.8863/2022. Epub ahead of print.
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Estevinho M, Pinho R, Silva J, Freitas T. Closure of a perforated endoscopic submucosal dissection eschar using three over-the-scope clips. 9546/2023


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Publication history

Received: 21/02/2023

Accepted: 13/03/2023

Online First: 17/03/2023

Published: 12/12/2023

Article revision time: 12 days

Article Online First time: 24 days

Article editing time: 294 days


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