Korean Journal of Gastrointestinal Endoscopy 1996;16(1): 77-81.
증례 : 식도 위장관 ; 점막절제술 후 절제면에 대한 지혈용클립을 이용한 봉합 ( Case Reports : Esophagus , Stomach & Intestine ; Endoscopic Clip Ligation on Mucosal Defect after Endoscopic Mucosal Resection )
정규원, 선희식, 박수헌, 최명규, 김재광, 조세현, 최종영, 방춘상, 한준열 (Kyu Won Chung, Hee Sik Sun, Soo Heon Park, Myung Gyu Choi, Jae Kwang Kim, Se Hyun Cho, Jong Young Choi, Choon Sang Bhang and Jun Yul Han)
Abstract
The main complications associated endoscopic mucosal resection are bleeding and perforation and the rate of complication is increasing in larger size of mucosal resection. We used a new method of endoscopic clipping technique for ligation on the large mucosal defect after endoscopic mucosal resection. A 53-year-old female patient visited our hospital because of epigastric pain. Endoscopic examination revealed a type IIa EGC(early gastric cancer) below angle. The endoscopic mucosal resection was performed and the size of resected specimen was 2.7x2.5cm. The mucosal defect was ligated with 6 hemoclips(Olympus, MD-850) after approximation of both resected margins by grasping forceps(Olympus, FG-4L). Follow up endoscopic examination revealed good quality of ulcer healing. The Endoscopic clipping technique might also be useful for treatment of minor perforation.(Kor J Gastrointest Endosc 16: 77~81, 1996)
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