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논문 기본 정보

자료유형
학술저널
저자정보
Jee Young An (Department of Internal Medicine The Catholic University of Korea Incheon Korea) Byung-Wook Kim (Department of Internal Medicine Incheon St. Mary’s Hospital College of Medicine The Catholic Univer) Joon Sung Kim (Department of Internal Medicine Incheon St. Mary’s Hospital College of Medicine The Catholic Univer) Jae-Myung Park (Department of Internal Medicine Seoul St. Mary’s Hospital The Catholic University of Korea Seoul) Tae Ho Kim (Department of Internal Medicine The Catholic University of Korea Bucheon Korea) Jaesin Lee (Department of Internal Medicine Incheon St. Mary’s Hospital College of Medicine The Catholic Univer)
저널정보
대한소화기내시경학회 Clinical Endoscopy Clinical Endoscopy 제54권 제4호
발행연도
2021.1
수록면
563 - 569 (7page)

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Background/Aims: Endoscopic resection (ER) has recently been accepted as the standard treatment modality for superficial nonampullaryduodenal tumors (SNADTs). However, the procedure can cause adverse events such as perforation and bleeding. Thisstudy aimed to investigate the efficacy of prophylactic clipping in the prevention of delayed complications. Methods: A retrospective review of the medical records of patients who underwent ER for SNADT from 3 centers was performed. Patients were divided into 2 groups: the immediate clipping group (ICG) and the no clipping group (NCG). Various baselinecharacteristics and factors associated with the appearance of delayed complications, such as size of the lesion, tumor location,histologic type, and co-morbidities, were compared between the two groups. Results: A total of 99 lesions from 99 patients were included in this study. Fifty-two patients were allocated into ICG and 47 patientswere allocated into NCG. Delayed bleeding occurred in 1 patient from ICG and in 8 patients from NCG. Delayed perforationoccurred in 1 patient from ICG and in 3 patients from NCG. There were no procedure-related deaths in both groups. Conclusions: Although the use of endoscopic clipping seemed to reduce the risk of developing delayed complications, further studiesusing a prospective design is required.

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