Endoscopic closure using polyglycolic acid sheets for delayed perforation after colonic endoscopic submucosal dissection

Delayed perforation after endoscopic resection of a colonic laterally spreading tumor: A case report and literature review

“…Xiao et al[ 11 ] demonstrated an endoscopic method called the overtube approach. Nagami et al[ 10 ] demonstrated that polyglycolic acid sheets and fibrin glue were effective for endoscopic closure of delayed perforation. Subsequent conservative treatment after closure is indispensable, including fasting, intravenous antibiotics, gastrointestinal decompression, and nutrition support[ 25 ].…”

Successful closure of huge perforation during rectal endoscopic submucosal dissection using an endoscopic string clip suturing method and polyglycolic acid sheets and fibrin glue

“…Recently, endoscopic string clip suturing has been reported to be a useful suturing method 1 , and polyglycolic acid (PGA) sheets and fibrin glue have been used to close perforations in the colon 2 3 . Here we report successful closure of a huge perforation during rectal endoscopic submucosal dissection (ESD) near the anastomosis site using an endoscopic string clip suturing method with the use of PGA sheets and fibrin glue.…”

Treating delayed perforation after esophageal endoscopic submucosal dissection using polyglycolic acid sheets and fibrin glue

“…Delayed perforation after esophageal endoscopic submucosal dissection (ESD) is rare but can be a serious complication and may require surgical treatment [1]. Recently, polyglycolic acid (PGA) sheets have been used as conservative treatment for delayed perforation after ESD in the stomach [2,3] and colon [4]. A 78-year-old man underwent ESD for a superficial esophageal cancer located on a previous ESD scar.…”