ArticleGut and liver2016
Endoscopic and Clinical Factors Affecting the Prognosis of Colorectal Endoscopic Submucosal Dissection-Related Perforation.
Article in Gut and liver, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Surveillance and Surgical Salvage Treatment for Endoscopically Removed T1 Colorectal Cancers.Gut and liver · 2025Review
- Management of complications related to colorectal endoscopic submucosal dissection.Clinical endoscopy · 2023Review
- Complications after endoscopic submucosal dissection for early colorectal cancer (Review).Oncology letters · 2023Review
- New common bile duct morphological subtypes: Risk predictors of common bile duct stone recurrence.World journal of gastrointestinal surgery · 2022Article
- Delayed perforation after endoscopic resection of a colonic laterally spreading tumor: A case report and literature review.World journal of clinical cases · 2020Article
- The utility of a novel colonoscope with retroflexion for colorectal endoscopic submucosal dissection.Endoscopy international open · 2019Article
- Dual Red Imaging Maintains Clear Visibility During Colorectal Endoscopic Submucosal Dissection.Digestive diseases and sciences · 2019Article
- Perforation and Postoperative Bleeding Associated with Endoscopic Submucosal Dissection in Colorectal Tumors: An Analysis of 398 Lesions Treated in Saga, Japan.Internal medicine (Tokyo, Japan) · 2018Article
- Endoscopic submucosal dissection for large colorectal epithelial neoplasms: A single center experience in north China.Medicine · 2017Article
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
aimsAlthough 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.
methodsForty-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.
resultsThe 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.
conclusionsTumor 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.
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