Department of Gastroenterology, Ishikawa Prefectural Central Hospital, Kanazawa, Japan.
Dig Endosc. 2014 Apr;26 Suppl 2:41-5. doi: 10.1111/den.12253.
The incidence of delayed perforation after endoscopic resection for superficial non-ampullary duodenal epithelial tumors is extremely high. Endoscopic tissue shielding with polyglycolic acid (PGA) sheets and fibrin glue is a promising method to prevent delayed perforation after endoscopic resection in the duodenum. However, we often encounter difficulty when covering an artificial ulcer with PGA sheets after endoscopic resection. We report three cases of postoperative ulcers covered by PGA sheets, fibrin glue, and clips.
内镜切除治疗表浅非壶腹型十二指肠上皮肿瘤后迟发性穿孔的发生率极高。聚乙二醇酸（PGA）片和纤维蛋白胶的内镜组织屏蔽是一种很有前途的预防方法，可防止内镜切除术后发生十二指肠迟发性穿孔。然而，我们在切除术后用 PGA 片覆盖人工溃疡时经常会遇到困难。我们报告了 3 例用 PGA 片、纤维蛋白胶和夹闭覆盖术后溃疡的病例。
