How to Cope with Complications Related to Colorectal Endoscopic Submucosal Dissection Mitsuhiro Fujishiro 1 , Naomi Kakushima 1 , Shinya Kodashima 1 , Yosuke Muraki 1 , Satoshi Ono 1 , Osamu Goto 1 , Ayako Tateishi 1 , Masao Omata 1 1Department of Gastroenterology, Graduate School of Medicine, University of Tokyo, Tokyo Keyword: 大腸腫瘍 , 内視鏡的粘膜下層剥離術 , 出血 , 穿孔 , 保存的治療 pp.1127-1134
Published Date 2007/6/25
DOI https://doi.org/10.11477/mf.1403101140
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 We retrospectively analyzed our colorectal endoscopic submucosal dissection cases(240cases in the225patients)between July, 2000and December, 2006. Complications were experienced in5.8%(14/240)of the cases. The complications consisted of1case of blood transfusion and colonic penetration, 2cases of post-procedural bleeding, 11cases of colorectal perforation or penetration, and1case of delayed colonic perforation. All the cases except for the delayed perforation one could be managed conservatively after endoscopic clipping. These findings may show the possibility of conservative management of complications encountered in colorectal endoscopic submucosal dissection in all the cases except for special cases, but it is extremely important to prepare for possible complications beforehand so as to be able to cope with the complication appropriately and obtain favorable results.

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