Line‐assisted complete closure for a large mucosal defect after colorectal endoscopic submucosal dissection decreased post‐electrocoagulation syndrome

The incidence of post‐endoscopic submucosal dissection (ESD) coagulation syndrome (PECS) can be decreased by closing mucosal defects. However, large mucosal defects after colorectal ESD cannot be closed endoscopically. We established line‐assisted complete clip closure (LACC), a novel technique for large mucosal defects after colorectal ESD. We evaluated the prophylactic efficacy of LACC for preventing PECS.

[1]  N. Uedo,et al.  Efficacy of traction‐assisted colorectal endoscopic submucosal dissection using a clip‐and‐thread technique: A prospective randomized study , 2018, Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society.

[2]  D. Murakami,et al.  Clinical impact of prophylactic clip closure of mucosal defects after colorectal endoscopic submucosal dissection , 2017, Endoscopy International Open.

[3]  H. Park,et al.  A randomized controlled trial of prophylactic antibiotics in the prevention of electrocoagulation syndrome after colorectal endoscopic submucosal dissection. , 2017, Gastrointestinal endoscopy.

[4]  K. Chayama,et al.  Long-term outcomes after endoscopic submucosal dissection for superficial colorectal tumors. , 2017, Gastrointestinal endoscopy.

[5]  T. Matsuda,et al.  Long-term clinical outcomes of endoscopic submucosal dissection for colorectal neoplasms in 423 cases: a retrospective study , 2017, Endoscopy.

[6]  N. Uedo,et al.  Line-assisted complete closure of duodenal mucosal defects after underwater endoscopic mucosal resection , 2017, Endoscopy.

[7]  N. Uedo,et al.  Technical feasibility of line-assisted complete closure technique for large mucosal defects after colorectal endoscopic submucosal dissection , 2017, Endoscopy International Open.

[8]  N. Uedo,et al.  Line-assisted complete closure of large gastric mucosal defects by use of multiple clip-and-line technique , 2016, VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy.

[9]  Y. Takeuchi,et al.  Line‐assisted complete closure of a large colorectal mucosal defect after endoscopic submucosal dissection , 2016, Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society.

[10]  Takeshi Nakajima,et al.  Clinical impact of endoscopic clip closure of perforations during endoscopic submucosal dissection for colorectal tumors. , 2016, Gastrointestinal endoscopy.

[11]  N. Uedo,et al.  Features of electrocoagulation syndrome after endoscopic submucosal dissection for colorectal neoplasm , 2016, Journal of gastroenterology and hepatology.

[12]  N. Uedo,et al.  Feasibility of Simple Traction Technique for Rectal Endoscopic Submucosal Dissection , 2016, Digestive Diseases and Sciences.

[13]  N. Uedo,et al.  Traction-assisted colonic endoscopic submucosal dissection using clip and line: a feasibility study , 2015, Endoscopy International Open.

[14]  Qi-sheng Zhang,et al.  Clip closure of defect after endoscopic resection in patients with larger colorectal tumors decreased the adverse events. , 2015, Gastrointestinal endoscopy.

[15]  N. Uedo,et al.  A novel traction method using an endoclip attached to a nylon string during colonic endoscopic submucosal dissection , 2015, Endoscopy.

[16]  Kazuhide Yamamoto,et al.  Predictive factors for technically difficult endoscopic submucosal dissection in the colorectum , 2014, Endoscopy.

[17]  S. Kudo,et al.  Factors associated with technical difficulties and adverse events of colorectal endoscopic submucosal dissection: retrospective exploratory factor analysis of a multicenter prospective cohort , 2014, International Journal of Colorectal Disease.

[18]  T. Masaki,et al.  The efficacy and safety of prophylactic closure for a large mucosal defect after colorectal endoscopic submucosal dissection. , 2013, Oncology reports.

[19]  T. Masaki,et al.  Effects of Gastric Irrigation on Bacterial Counts before Endoscopic Submucosal Dissection: A Randomized Case Control Prospective Study , 2013, PloS one.

[20]  J. Christie,et al.  “Mini-perforation” of the colon—Not all postpolypectomy perforations require laparotomy , 1991, Diseases of the colon and rectum.

[21]  J. Waye.  The postpolypectomy coagulation syndrome , 1981 .