Endoscopic tissue shielding to prevent delayed perforation associated with endoscopic submucosal dissection for duodenal neoplasms

Takimoto, Kengo; Toyonaga, Takashi; Matsuyama, Kiichi

doi:10.1055/s-0032-1325739

Cited by 73 publications

(76 citation statements)

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“…In the field of gastrointestinal endoscopy, they are used after ESD to prevent strictures and perforations 7 11 . Based on the studies of Takimoto et al 7,8 , we devised an endoscopic treatment that incorporated the use of PGA sheets and fibrin glue to provide a treatment that is simpler and safer than other gastrointestinal endoscopic treatments.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Treatment of Boerhaave Syndrome Using Polyglycolic Acid Sheets and Fibrin Glue: A Report of Two Cases

et al. 2017

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Boerhaave syndrome, the spontaneous perforation of the esophagus, is an emergency, life-threatening condition. Current endoscopic treatment options include clipping and stenting, but the use of polyglycolic acid (PGA) sheets for treating the condition has not been reported. In recent years, PGA sheets have been used after endoscopic submucosal dissection to prevent perforations and stricture formation in patients treated for early-stage carcinoma. We report the cases of two patients with Boerhaave syndrome who were successfully treated using PGA sheets. The present clinical outcomes suggest that the use of PGA sheets is feasible and safe for treating patients with Boerhaave syndrome, and that they may be another treatment option. (J Nippon Med Sch 2017; 84: 241 245)

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Section: Discussionmentioning

confidence: 99%

Endoscopic Treatment of Boerhaave Syndrome Using Polyglycolic Acid Sheets and Fibrin Glue: A Report of Two Cases

et al. 2017

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“…This technique can theoretically prevent delayed perforation [81]. Fibrin glue instillation has also been described to seal duodenal perforations, which are difficult to clip due to location and orientation [82].…”

Section: Glue and Fibrinmentioning

confidence: 99%

Endoscopic “rescue” treatment for gastrointestinal perforations, anastomotic dehiscence and fistula

Dabizzi

Ceglie²,

Baig

et al. 2016

Clinics and Research in Hepatology and Gastroenterology

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“…There are different techniques to perform this procedure. All of them are simple and safe methods to provide shielding protection of the resected area as a way to prevent late complications[3]. Due to the experience we have gained using this technique, we aim to review our evidence, as well as the experimental models used in clinical practice.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic shielding technique, a new method in therapeutic endoscopy

Bon

Bartolı́

Lorenzo-Zúñiga

2017

WJG

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Prevention of late complications after large endoscopic resection is inefficient with current methods. Endoscopic shielding, as a simple and safe technique, has been proposed to improve the incidence of these events. Different methods, sheets or hydrogels, have showed proven efficacy in the prevention of late bleeding and perforation, as well as the improvement of tissue repair, in experimental models and in clinical practice.

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Endoscopic tissue shielding to prevent delayed perforation associated with endoscopic submucosal dissection for duodenal neoplasms

Cited by 73 publications

References 0 publications

Endoscopic Treatment of Boerhaave Syndrome Using Polyglycolic Acid Sheets and Fibrin Glue: A Report of Two Cases

Endoscopic Treatment of Boerhaave Syndrome Using Polyglycolic Acid Sheets and Fibrin Glue: A Report of Two Cases

Endoscopic “rescue” treatment for gastrointestinal perforations, anastomotic dehiscence and fistula

Endoscopic shielding technique, a new method in therapeutic endoscopy

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