Complications from endoscopic removal of digestive tract neoplasms and methods of correction
Abstract
The paper analyses structure and occurrence of complications based upon 965 endoscopic surgical procedures performed on the digestive tract organs. The bleedings were observed after 0.4 % of polypectomies and 1.1 % of mucosal resections. 0.3 % of polypectomies, 2.2 % of mucosal resections and 10 % of submucosal dissections have been complicated by perforations. There were no lethal outcomes. The occurrence of bleedings and perforations observed by authors has been in the range of indices typical of the endoscopic surgery-related complications described in the foreign literature.
About the Authors
A. A. Krekoten
Departmental Clinical Hospital of the Vladivostok Station, JSC RZhD
Russian Federation
Russian Federation
M. Yu. Agapov
Departmental Clinical Hospital of the Vladivostok Station, JSC RZhD; Vladivostok State Medical University
Russian Federation
Russian Federation
A. S. Barsukov
Departmental Clinical Hospital of the Vladivostok Station, JSC RZhD
Russian Federation
Russian Federation
K. V. Stegniy
Vladivostok State Medical University
Russian Federation
Russian Federation
M. S. Eliseitsev
Vladivostok State Medical University
Russian Federation
Russian Federation
References
1. Fujishiro M., Yahagi N., Kakushima N. et al. Outcomes of endoscopic submucosal dissection for colorectal epithelial neoplasms in 200 consecutive cases // Clin. Gastroenterol. Hepatol. 2007. Vol. 5. P. 678-683.
2. Heldwein W., Dollhopf M., Rösch T. et al. The Munich Polypectomy Study (MUPS): prospective analysis of complications and risk factors in 4000 colonic snare polypectomies // Endoscopy. 2005. Vol. 37, No. 11. P. 1116-1122.
3. Heresbach D., Kornhauser R., Seyrig J.A. et al. A national survey of endoscopic mucosal resection for superficial gastrointestinal neoplasia // Endoscopy. 2010. Vol. 42, No. 10. P. 806-813.
4. Hotta K., Oyama T., Akamatsu T. et al. A comparison of outcomes of endoscopic submucosal dissection (ESD) For early gastric neoplasms between high-volume and low-volume centers: multi-center retrospective questionnaire study conducted by the Nagano ESD Study Group // Intern. Med. 2010. Vol. 49, No. 4. P. 253-259.
5. Piessevaux H., Dewit O., Azzouzi K. Endoscopic submucosal dissection for en block resection of large colorectal adenomas: experience in a Western population // Gastrointest. Endosc. 2008. Vol. 67. P AB149.
6. Ribeiro-Mouräo F., Pimentel-Nunes P., Dinis-Ribeiro M. Endoscopic submucosal dissection for gastric lesions: results of an European inquiry // Endoscopy. 2010. Vol. 42. P. 814-819.
7. Tanaka S., Tamegai Y., Tsuda S. et al. Multicenter questionnaire survey on the current situation of colorectal endoscopic submucosal dissection in Japan // Dig. Endosc. 2010. Vol. 22, Suppl. P. S2-8.
Review
For citations:
Krekoten A.A., Agapov M.Yu., Barsukov A.S., Stegniy K.V., Eliseitsev M.S. Complications from endoscopic removal of digestive tract neoplasms and methods of correction. Pacific Medical Journal. 2011;(4):17-18. (In Russ.)
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