지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 420 - 428 (9page)
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초록· 키워드
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Background/Aims: Although colorectal endoscopic submucosal dissection (ESD)-related perforation is not uncommon, the factors affecting clinical outcomes after perforation have not been investigated. This study was designed to investigate the factors influencing the clinical course of ESD-related colon perforation. Methods: Forty-three patients with colorectal ESD-related perforation were evaluated. The perforations were classified as endoscopic or radiologic perforations.
The patients’ medical records and endoscopic pictures were analyzed. Results: The clinical outcomes were assessed by the duration of nil per os, intravenous antibiotics administration, and hospital stays, which were 2.7±1.5, 4.9±2.3, and 5.1±2.3 days, respectively. Multivariate analyses revealed that a larger tumor size, ESD failure, specific endoscopists, and abdominal pain were independently related to a poorer outcome. The time between perforation and clipping was 15.8±25.4 minutes in the endoscopic perforation group.
The multivariate analysis of this group indicated that delayed clipping, specific endoscopists, and abdominal pain were independently associated with poorer outcomes. Conclusions: Tumor size, ESD failure, abdominal pain, and the endoscopist were factors that affected the clinical outcomes of patients with colorectal ESD-related perforation. The time between the perforation and clipping was an additional factor influencing the clinical course of endoscopic perforation.
Decreasing this time period may improve outcomes.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Isomoto H / 2009 / Endoscopic submucosal dissection for early gastric cancer: a large-scale feasibility study / Gut 58:331~336
Tanaka S / 2007 / Endoscopic submucosal dissection for colorectal neoplasia: possibility of standardization / Gastrointest Endosc 66:100~107
Tanaka S / 2010 / Multicenter questionnaire survey on the current situation of colorectal endoscopic submucosal dissection in Japan / Dig Endosc 22(1):S2~S8
Lee EJ / 2012 / Clinical risk factors for perforation during endoscopic submucosal dissection (ESD) for large-sized, nonpedunculated colorectal tumors / Surg Endosc 26:1587~1594
Tamegai Y / 2007 / Endoscopic submucosal dissection:a safe technique for colorectal tumors / Endoscopy 39:418~422
Tanaka S / 2007 / Endoscopic submucosal dissection for colorectal neoplasia: possibility of standardization / Gastrointest Endosc 66:100~107
Tanaka S / 2010 / Multicenter questionnaire survey on the current situation of colorectal endoscopic submucosal dissection in Japan / Dig Endosc 22(1):S2~S8
Lee EJ / 2012 / Clinical risk factors for perforation during endoscopic submucosal dissection (ESD) for large-sized, nonpedunculated colorectal tumors / Surg Endosc 26:1587~1594
Tamegai Y / 2007 / Endoscopic submucosal dissection:a safe technique for colorectal tumors / Endoscopy 39:418~422
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