内視鏡的切除後,遅発性胃穿孔をきたした胃粘膜下腫瘍の1例 [in Japanese] A CASE OF DELAYED PERFORATION OF THE STOMACH AFTER ENDOSCOPIC RESECTION OF SUBMUCOSAL TUMOR [in Japanese]
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A 49-year-old man was seen at the hospital because he was pointed out having a gastric lesion at a physical examination. A submucosal tumor 1cm in diameter located paracardia was observed with endoscopy. There was no connection between the tumor and the proper muscle layer because the tumor had high mobility within the submucosal layer. We tried an endosopic resection for the gastric lesion 2 weeks later. After the tumor resection, the proper muscle layer was clearly observed in the resected surface, and no bleeding nor perforation was seen. And a pathological study documented us that the tumor was removed with wrapped capsule and without any proper muscle layer component. So we thought that the proper muscule layer had been slightly damaged by the endoscopic procedure. However, he was seen at the hospital again because of perforation of the stomach about 7 hours passed after the endoscope procedure. It is not able to rule out the possibility of delayed perforation of the stomach after the endoscopic procedure, nevertheless the damage of the proper muscle layer would be slight and no immediate perforation would be observed. It is very important to close a mucosal defect by endoscopic procedure with crips or any other goods.
- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 60(9), 2353-2356, 1999-09-25
Japan Surgical Association