Yano Takafumi, Tanabe Satoshi, Ishido Kenji, Azuma Mizutomo, Wada Takuya, Suzuki Mizuto, Kawanishi Natsuko, Yamane Sakiko, Sasaki Tohru, Katada Chikatoshi, Mikami Tetsuo, Katada Natsuya, Koizumi Wasaburo
Takafumi Yano, Kenji Ishido, Mizutomo Azuma, Takuya Wada, Mizuto Suzuki, Natsuko Kawanishi, Sakiko Yamane, Tohru Sasaki, Chikatoshi Katada, Wasaburo Koizumi, Department of Gastroenterology, Kitasato University School of Medicine, Kanagawa 252-0375, Japan.
World J Gastrointest Endosc. 2016 Apr 25;8(8):368-73. doi: 10.4253/wjge.v8.i8.368.
Perforation is an important procedural complication of endoscopic submucosal dissection (ESD) for early gastric cancer. Although the incidence of delayed perforation after ESD is low, extreme caution is necessary because many cases require surgical intervention. Among 1984 lesions of early gastric cancer treated in our hospital by ESD in 1588 patients from September 2002 through March 2015, delayed perforation developed in 4 patients (4 lesions, 0.25%). A diagnosis of delayed perforation requires prompt action, including surgical intervention when required.
穿孔是早期胃癌内镜下黏膜剥离术（ESD）的一种重要手术并发症。虽然ESD术后延迟穿孔的发生率较低，但由于许多病例需要手术干预，因此必须格外谨慎。在2002年9月至2015年3月期间，我院对1588例患者的1984处早期胃癌病变进行了ESD治疗，其中4例患者（4处病变，0.25%）发生了延迟穿孔。延迟穿孔的诊断需要迅速采取行动，包括在必要时进行手术干预。
