Metallic hemoclips in management of gastric defects during endoscopic full-thickness resection
10.3760/cma.j.issn.1007-5232.2012.02.003
- VernacularTitle:金属止血夹在内镜全层切除术中的应用评价
- Author:
Jingzheng LIU
;
Pinghong ZHOU
;
Liqing YAO
;
Meidong XU
;
Mingyan CAI
;
Jianwei HU
;
Wenzheng QIN
;
Zhong REN
- Publication Type:Journal Article
- Keywords:
Stomach neoplasms;
Suture techniques;
Endoscopic full-thickness resection;
Metallic hemoclip
- From:
Chinese Journal of Digestive Endoscopy
2012;29(2):69-73
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical efficacy and safety of metallic hemoclips in the treatment of gastric defects during endoscopic full-thickness resection. Methods Patients with submucosal tumors derived from the muscularis propria and adhesion of the gastric serosa diagnosed by EUS and CT were enrolled in the study.A total of 62 patients,22 males and 40 females,mean age 58.5 years,were recruited into the present study from June 2009 to December 2010,in which 37 patients were with tumors in gastric fundus,20 in gastric body and 5 in antrum.All patients were treated with endoscopic full-thickness resection.After the operation,metallic hemoclips were used to close the defects through endoscopic biopsy channel.The closure success rate with metallic hemoclips were assessed.The patients were followed up endoscopically for evaluation of efficacy and safety of the procedures.Results All patients underwent endoscopic full-thickness resection.Uncontrollable bleeding occurred in 1 patient,who subsequently underwent emergent laparoscopic surgery and was excluded from the study.Metallic hemoclips were applied to close defects in 57 patients,and metallic hemoclips combined with omentum obstruction in 4 patients.The overall success rate was 100％ in 61 patients.Endoscopic follow-up was completed in all patients in average of 4.4 months.The clinical wound healing rate was 100％.No complications such as fever,abdominal pain were found in 2months after the procedures.Conclusion Application of metallic hemoclips during endoscopic full-thickness resection for gastric defects is a safe and effective technique.
