早期胃癌内镜黏膜下剥离术后延迟穿孔：临床特征与治疗
Delayed perforation after endoscopic submucosal dissection for early gastric cancer: Clinical features and treatment.
作者信息
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
机构信息
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.
出版信息
World J Gastrointest Endosc. 2016 Apr 25;8(8):368-73. doi: 10.4253/wjge.v8.i8.368.
Abstract
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.
摘要
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。
相似文献
1
Delayed perforation after endoscopic submucosal dissection for early gastric cancer: Clinical features and treatment.早期胃癌内镜黏膜下剥离术后延迟穿孔：临床特征与治疗
World J Gastrointest Endosc. 2016 Apr 25;8(8):368-73. doi: 10.4253/wjge.v8.i8.368.
2
Management and associated factors of delayed perforation after gastric endoscopic submucosal dissection.胃内镜黏膜下剥离术后延迟穿孔的管理及相关因素
World J Gastroenterol. 2015 Nov 28;21(44):12635-43. doi: 10.3748/wjg.v21.i44.12635.
3
Delayed Perforation Occurring after Endoscopic Submucosal Dissection for Early Gastric Cancer.早期胃癌内镜黏膜下剥离术后发生的延迟穿孔
Clin Endosc. 2015 May;48(3):251-5. doi: 10.5946/ce.2015.48.3.251. Epub 2015 May 29.
4
Characteristics and Risk Factors of Delayed Perforation in Endoscopic Submucosal Dissection for Early Gastric Cancer.早期胃癌内镜下黏膜下剥离术后延迟穿孔的特征及危险因素
J Clin Med. 2024 Feb 26;13(5):1317. doi: 10.3390/jcm13051317.
5
Therapeutic outcomes in 1000 cases of endoscopic submucosal dissection for early gastric neoplasms: Korean ESD Study Group multicenter study.1000例早期胃肿瘤内镜黏膜下剥离术的治疗结果：韩国ESD研究组多中心研究
Gastrointest Endosc. 2009 Jun;69(7):1228-35. doi: 10.1016/j.gie.2008.09.027. Epub 2009 Feb 27.
6
AGA Institute Clinical Practice Update: Endoscopic Submucosal Dissection in the United States.AGA 研究所临床实践更新：美国内镜黏膜下剥离术。
Clin Gastroenterol Hepatol. 2019 Jan;17(1):16-25.e1. doi: 10.1016/j.cgh.2018.07.041. Epub 2018 Aug 2.
7
Delayed perforation occurring on the 24th day after endoscopic submucosal dissection for early gastric cancer.早期胃癌内镜下黏膜剥离术后第24天发生延迟穿孔。
Clin J Gastroenterol. 2017 Apr;10(2):124-127. doi: 10.1007/s12328-016-0709-9. Epub 2016 Dec 21.
8
Clinical features and outcomes of delayed perforation after endoscopic submucosal dissection for early gastric cancer.内镜黏膜下剥离术后延迟性穿孔的临床特征及转归。
Endoscopy. 2010 Dec;42(12):1112-5. doi: 10.1055/s-0030-1255932. Epub 2010 Nov 30.
9
Risk factors for perforation and delayed bleeding associated with endoscopic submucosal dissection for early gastric neoplasms: analysis of 1123 lesions.内镜黏膜下剥离术治疗早期胃癌相关穿孔和延迟出血的危险因素：1123 例病变分析。
J Gastroenterol Hepatol. 2012 May;27(5):907-12. doi: 10.1111/j.1440-1746.2011.07039.x.
10
Clinical Factors of Delayed Perforation after Endoscopic Submucosal Dissection for Gastric Neoplasms.胃肿瘤内镜黏膜下剥离术后延迟穿孔的临床因素
Gastroenterol Res Pract. 2017;2017:7404613. doi: 10.1155/2017/7404613. Epub 2017 Aug 15.
引用本文的文献
1
Improved outcomes of endoscopic treatment for delayed perforation following endoscopic submucosal dissection for gastric epithelial neoplasms.胃上皮性肿瘤内镜黏膜下剥离术后延迟穿孔的内镜治疗效果改善
Endosc Int Open. 2025 Jan 29;13:a24517835. doi: 10.1055/a-2451-7835. eCollection 2025.
2
Assessment and Techniques for Endoscopic Closure.内镜闭合术的评估与技术
Clin Colon Rectal Surg. 2023 Jul 19;37(5):302-308. doi: 10.1055/s-0043-1770944. eCollection 2024 Sep.
3
Characteristics and Risk Factors of Delayed Perforation in Endoscopic Submucosal Dissection for Early Gastric Cancer.早期胃癌内镜下黏膜下剥离术后延迟穿孔的特征及危险因素
J Clin Med. 2024 Feb 26;13(5):1317. doi: 10.3390/jcm13051317.
4
Clinicopathological characteristics of synchronous multiple primary early esophageal cancer and risk factors for multiple lesions.同步性多原发性早期食管癌的临床病理特征及多病灶危险因素
Front Oncol. 2023 Aug 17;13:1219451. doi: 10.3389/fonc.2023.1219451. eCollection 2023.
5
Delayed Perforation Occurring after Gastric Endoscopic Submucosal Dissection: Clinical Features and Management Strategy.胃内镜黏膜下剥离术后迟发性穿孔：临床特征与处理策略。
Gut Liver. 2024 Jan 15;18(1):40-49. doi: 10.5009/gnl220508. Epub 2023 May 10.
6
Delayed perforation after gastric endoscopic submucosal dissection can be treated by using over-the-scope clips.胃内镜黏膜下剥离术后延迟穿孔可通过使用套扎器夹闭进行治疗。
Ann Gastroenterol. 2019 Sep-Oct;32(5):526. doi: 10.20524/aog.2019.0398. Epub 2019 Jul 6.
7
Safety and location analysis of transumbilical endoscopic submucosal dissection with single-basin lymph node dissection in the upper gastric body: a porcine model.经脐内镜黏膜下剥离术联合单一体腔淋巴结清扫在上部胃体的安全性和部位分析：猪模型研究。
Surg Endosc. 2020 Feb;34(2):590-597. doi: 10.1007/s00464-019-06801-2. Epub 2019 Apr 23.
8
Delayed perforation after endoscopic submucosal dissection treated successfully by temporary stent placement.内镜黏膜下剥离术后延迟穿孔经临时支架置入成功治疗
Clin J Gastroenterol. 2018 Apr;11(2):118-122. doi: 10.1007/s12328-017-0808-2. Epub 2017 Dec 8.
9
Clinical Factors of Delayed Perforation after Endoscopic Submucosal Dissection for Gastric Neoplasms.胃肿瘤内镜黏膜下剥离术后延迟穿孔的临床因素
Gastroenterol Res Pract. 2017;2017:7404613. doi: 10.1155/2017/7404613. Epub 2017 Aug 15.
10
Predictive risk factors associated with synchronous multiple early gastric cancer.与同步性多灶早期胃癌相关的预测风险因素。
Medicine (Baltimore). 2017 Jun;96(26):e7088. doi: 10.1097/MD.0000000000007088.
本文引用的文献
1
Dehiscence following successful endoscopic closure of gastric perforation during endoscopic submucosal dissection.内镜黏膜下剥离术后成功内镜封闭胃穿孔后出现裂开。
World J Gastroenterol. 2012 Aug 21;18(31):4224-7. doi: 10.3748/wjg.v18.i31.4224.
2
Delayed perforation occurring after endoscopic submucosal dissection for early gastric cancer.内镜黏膜下剥离术后迟发性穿孔发生于早期胃癌。
Gastric Cancer. 2012 Jan;15(1):111-4. doi: 10.1007/s10120-011-0089-2. Epub 2011 Sep 23.
3
Clinical features and outcomes of delayed perforation after endoscopic submucosal dissection for early gastric cancer.内镜黏膜下剥离术后延迟性穿孔的临床特征及转归。
Endoscopy. 2010 Dec;42(12):1112-5. doi: 10.1055/s-0030-1255932. Epub 2010 Nov 30.
4
Usefulness of a novel electrosurgical knife, the insulation-tipped diathermic knife-2, for endoscopic submucosal dissection of early gastric cancer.一种新型电外科手术刀——绝缘头透热刀-2在早期胃癌内镜黏膜下剥离术中的应用价值。
Gastric Cancer. 2008;11(1):47-52. doi: 10.1007/s10120-008-0452-0. Epub 2008 Mar 29.
5
Endoscopic submucosal dissection of early gastric cancer.早期胃癌的内镜下黏膜下剥离术
J Gastroenterol. 2006 Oct;41(10):929-42. doi: 10.1007/s00535-006-1954-3. Epub 2006 Nov 9.
6
Complete endoscopic closure of gastric perforation induced by endoscopic resection of early gastric cancer using endoclips can prevent surgery (with video).使用内镜夹对早期胃癌内镜切除术后所致胃穿孔进行完全内镜闭合可避免手术（附视频）。
Gastrointest Endosc. 2006 Apr;63(4):596-601. doi: 10.1016/j.gie.2005.07.029.
7
Clinical outcome of endoscopic aspiration mucosectomy for early stage gastric cancer.早期胃癌内镜下抽吸黏膜切除术的临床结果
Gastrointest Endosc. 2002 Nov;56(5):708-13. doi: 10.1067/mge.2002.129085.
8
New endoscopic treatment for intramucosal gastric tumors using an insulated-tip diathermic knife.使用绝缘头透热刀治疗胃黏膜内肿瘤的新内镜治疗方法。
Endoscopy. 2001 Mar;33(3):221-6. doi: 10.1055/s-2001-12805.
9
Acute gastric dilatation with infarction and perforation. Report of fatal outcome in patient with anorexia nervosa.急性胃扩张伴梗死和穿孔。神经性厌食症患者死亡结局报告。
Gut. 1981 Nov;22(11):978-83. doi: 10.1136/gut.22.11.978.
10
Effects of proximal gastric vagotomy on intragastric pressure and adaptation in pigs.
Scand J Gastroenterol. 1974;9(5):479-85.
Zotero 插件