Clinical outcomes and risk factors for perforation in gastric endoscopic submucosal dissection: A prospective pilot study

doi:10.4253/wjge.v5.i6.281

Advanced Search

BPG is committed to discovery and dissemination of knowledge

Home / Archive / Volume 5, Issue 6

This Article

Citation of this article

Corresponding Author of This Article

Research Domain of This Article

Article-Type of This Article

Open-Access Policy of This Article

Times Cited Counts in Google of This Article

Number of Hits and Downloads for This Article

Total Article Views (4631)

All Articles published online

The chart showing PDF series, HTML series, Figures (1-2) series, Tables (1-3) series.

Item

Count

PDF

302

HTML

2433

Figures (1-2)

151

Tables (1-3)

150

Sum=3036

Publishing Process of This Article

The chart showing Browse series, Download series.

Item

Count

Browse

894

Download

701

Sum=1595

Jun 16, 2013 (publication date) through May 14, 2024

Times Cited of This Article

Times Cited (23)

Journal Information of This Article

Publication Name

World Journal of Gastrointestinal Endoscopy

ISSN

1948-5190

Publisher of This Article

Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Brief Article

World J Gastrointest Endosc. Jun 16, 2013; 5(6): 281-287
Published online Jun 16, 2013. doi: 10.4253/wjge.v5.i6.281

Clinical outcomes and risk factors for perforation in gastric endoscopic submucosal dissection: A prospective pilot study

Jiro Watari, Toshihiko Tomita, Fumihiko Toyoshima, Jun Sakurai, Takashi Kondo, Haruki Asano, Takahisa Yamasaki, Takuya Okugawa, Hisatomo Ikehara, Tadayuki Oshima, Hirokazu Fukui, Hiroto Miwa

Jiro Watari, Toshihiko Tomita, Fumihiko Toyoshima, Jun Sakurai, Takashi Kondo, Haruki Asano, Takahisa Yamasaki, Takuya Okugawa, Hisatomo Ikehara, Tadayuki Oshima, Hirokazu Fukui, Hiroto Miwa, Division of Upper Gastroenterology, Department of Internal Medicine, Hyogo College of Medicine, Nishinomiya, Hyogo 663-8501, Japan

Author contributions: Watari J designed the study, analyzed the data, and wrote the manuscript; Watari J, Tomita T, Toyoshima F, Sakurai J, Kondo T, Asano H, Yamasaki T, Okugawa T, Ikehara H, Oshima T and Fukui H performed the endoscopic submucosal dissection procedure and collected physical and imaging findings; Miwa H provided appropriate advice for this work.

Correspondence to: Jiro Watari, MD, PhD, Division of Upper Gastroenterology, Department of Internal Medicine, Hyogo College of Medicine, 1-1, Mukogawa-cho, Nishinomiya, Hyogo 663-8501, Japan. watarij@hyo-med.ac.jp

Telephone: +81-798-456662 Fax: +81-798-456661

Received: February 14, 2013
Revised: April 3, 2013
Accepted: April 18, 2013
Published online: June 16, 2013

Core Tip

Core tip: There has been little prospective study on the clinical outcomes of endoscopic perforation in endoscopic submucosal dissection for gastric neoplasia. In the current study, we investigated clinical outcomes of perforation during gastric endoscopic submucosal dissection, and analyzed various demographic and clinical parameters for risk factors. The results clearly demonstrated that prolonged procedure time (≥ 115 min), but not tumor location, was significantly associated with endoscopic perforation. The clinical outcomes of perforation are favorable and comparable to those with or without silent free air without endoscopic perforation as detected only by computed tomography.