unexpected delayed colon perforation after the endoscopic submucosal dissection with snaring of a laterally spreading tumor

unexpected delayed colon perforation after the endoscopic submucosal dissection with snaring of a laterally spreading tumor

;Young Bo Ko;Jeong-Mi Lee;Wan Soo Kim;Min Seob Kwak;Ji Wan Lee;Dong Yeol Shin;Dong-Hoon Yang;Jeong-Sik Byeon
annals of intensive care 2015 Vol. 48 pp. 570-575
194
ko2015clinicalunexpected

Abstract

Colonic perforation may occur as a complication of diagnostic and therapeutic colonoscopy. The risk factors for perforation after colorectal endoscopic submucosal dissection (ESD) include an inexperienced endoscopist, a large tumor size, and submucosal fibrosis. The mechanisms of perforation include unintended endoscopic resection/dissection and severe thermal injury. Here, we report a case of colon perforation that occurred after ESD with snaring of a laterally spreading tumor. The perforation was completely unexpected because there were no colorectal ESD-associated risk factors for perforation, deep dissection, or severe coagulation injury in our patient.

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ID: 192409
Ref Key: ko2015clinicalunexpected
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0x95644003c57E6F55A65596E3D9Eac6813e3566dA
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192409
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10.5946/ce.2015.48.6.570
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