Unexpected Delayed Colon Perforation after the Endoscopic Submucosal Dissection with Snaring of a Laterally Spreading Tumor

نویسندگان

  • Young Bo Ko
  • Jeong-Mi Lee
  • Wan Soo Kim
  • Min Seob Kwak
  • Ji Wan Lee
  • Dong Yeol Shin
  • Dong-Hoon Yang
  • Jeong-Sik Byeon
چکیده

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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عنوان ژورنال:

دوره 48  شماره 

صفحات  -

تاریخ انتشار 2015