Endoscopic tissue shielding method with polyglycolic acid sheets and fibrin glue to prevent delayed perforation after duodenal endoscopic submucosal dissection
Delayed perforation after duodenal endoscopic submucosal dissection (ESD) occurs at a high rate because the duodenal wall is very thin and the artificial ulcer after resection is exposed to bile and pancreatic juice. We investigated the application of the combination of a polyglycolic acid (PGA) she...
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| Veröffentlicht in: | Digestive endoscopy 2014-04, Vol.26 (S2), p.46-49 |
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| creator | Takimoto, Kengo Imai, Yoshihito Matsuyama, Kiichi |
| description | Delayed perforation after duodenal endoscopic submucosal dissection (ESD) occurs at a high rate because the duodenal wall is very thin and the artificial ulcer after resection is exposed to bile and pancreatic juice. We investigated the application of the combination of a polyglycolic acid (PGA) sheet and fibrin glue. PGA sheets comprise materials widely used in surgery for absorbable thread. Fibrin glue is a heated blood product and is used for hemostasis during operations. We developed a combined method using both materials. We have used this method in two cases. One case involved an elevated lesion located in the lower duodenal angle of the duodenum. The other involved an elevated lesion in the second portion of the duodenum. About 1 week after ESD, the PGA sheets remained covering the ulcer and delayed perforation did not occur. We were able to easily carry out this method for several parts of the duodenum. This method may be helpful for the prevention of delayed perforation after duodenal ESD. |
| doi_str_mv | 10.1111/den.12280 |
| format | Article |
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We investigated the application of the combination of a polyglycolic acid (PGA) sheet and fibrin glue. PGA sheets comprise materials widely used in surgery for absorbable thread. Fibrin glue is a heated blood product and is used for hemostasis during operations. We developed a combined method using both materials. We have used this method in two cases. One case involved an elevated lesion located in the lower duodenal angle of the duodenum. The other involved an elevated lesion in the second portion of the duodenum. About 1 week after ESD, the PGA sheets remained covering the ulcer and delayed perforation did not occur. We were able to easily carry out this method for several parts of the duodenum. This method may be helpful for the prevention of delayed perforation after duodenal ESD.</description><identifier>ISSN: 0915-5635</identifier><identifier>EISSN: 1443-1661</identifier><identifier>DOI: 10.1111/den.12280</identifier><identifier>PMID: 24750148</identifier><language>eng</language><publisher>Australia</publisher><subject>Absorbable Implants ; Aged ; Carcinoma - diagnosis ; Carcinoma - surgery ; Dissection ; Duodenal Neoplasms - diagnosis ; Duodenal Neoplasms - surgery ; Duodenoscopy - adverse effects ; Duodenoscopy - methods ; endoscopic submucosal dissection (ESD) ; endoscopic tissue shielding ; Female ; fibrin glue ; Follow-Up Studies ; Humans ; Intestinal Mucosa - pathology ; Intestinal Mucosa - surgery ; Intestinal Perforation - prevention & control ; Male ; Polyglycolic Acid - pharmacology ; polyglycolic acid sheet ; Postoperative Complications - prevention & control ; Risk Assessment ; Sampling Studies ; superficial non‐ampullary duodenal epithelial tumor (SNADET) ; Time Factors ; Tissue Adhesives - therapeutic use ; Treatment Outcome ; Wound Closure Techniques</subject><ispartof>Digestive endoscopy, 2014-04, Vol.26 (S2), p.46-49</ispartof><rights>2014 The Authors. Digestive Endoscopy © 2014 Japan Gastroenterological Endoscopy Society</rights><rights>2014 The Authors. Digestive Endoscopy © 2014 Japan Gastroenterological Endoscopy Society.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3600-10056b6428c8a9500515427478789b7c96783e9c64bce3bd590113bd742456b63</citedby><cites>FETCH-LOGICAL-c3600-10056b6428c8a9500515427478789b7c96783e9c64bce3bd590113bd742456b63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fden.12280$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fden.12280$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24750148$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Takimoto, Kengo</creatorcontrib><creatorcontrib>Imai, Yoshihito</creatorcontrib><creatorcontrib>Matsuyama, Kiichi</creatorcontrib><title>Endoscopic tissue shielding method with polyglycolic acid sheets and fibrin glue to prevent delayed perforation after duodenal endoscopic submucosal dissection</title><title>Digestive endoscopy</title><addtitle>Dig Endosc</addtitle><description>Delayed perforation after duodenal endoscopic submucosal dissection (ESD) occurs at a high rate because the duodenal wall is very thin and the artificial ulcer after resection is exposed to bile and pancreatic juice. We investigated the application of the combination of a polyglycolic acid (PGA) sheet and fibrin glue. PGA sheets comprise materials widely used in surgery for absorbable thread. Fibrin glue is a heated blood product and is used for hemostasis during operations. We developed a combined method using both materials. We have used this method in two cases. One case involved an elevated lesion located in the lower duodenal angle of the duodenum. The other involved an elevated lesion in the second portion of the duodenum. About 1 week after ESD, the PGA sheets remained covering the ulcer and delayed perforation did not occur. We were able to easily carry out this method for several parts of the duodenum. This method may be helpful for the prevention of delayed perforation after duodenal ESD.</description><subject>Absorbable Implants</subject><subject>Aged</subject><subject>Carcinoma - diagnosis</subject><subject>Carcinoma - surgery</subject><subject>Dissection</subject><subject>Duodenal Neoplasms - diagnosis</subject><subject>Duodenal Neoplasms - surgery</subject><subject>Duodenoscopy - adverse effects</subject><subject>Duodenoscopy - methods</subject><subject>endoscopic submucosal dissection (ESD)</subject><subject>endoscopic tissue shielding</subject><subject>Female</subject><subject>fibrin glue</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Intestinal Mucosa - pathology</subject><subject>Intestinal Mucosa - surgery</subject><subject>Intestinal Perforation - prevention & control</subject><subject>Male</subject><subject>Polyglycolic Acid - pharmacology</subject><subject>polyglycolic acid sheet</subject><subject>Postoperative Complications - prevention & control</subject><subject>Risk Assessment</subject><subject>Sampling Studies</subject><subject>superficial non‐ampullary duodenal epithelial tumor (SNADET)</subject><subject>Time Factors</subject><subject>Tissue Adhesives - therapeutic use</subject><subject>Treatment Outcome</subject><subject>Wound Closure Techniques</subject><issn>0915-5635</issn><issn>1443-1661</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kcFu1DAQhi0EosvCgRdAPsIhrSexHeeIylKQKrjAOXLsya6RNw620ypPw6vi7RY44cvI1jefZ_QT8hrYJZRzZXG6hLpW7AnZAOdNBVLCU7JhHYhKyEZckBcp_WAM6o7z5-Si5q1gwNWG_NpNNiQTZmdodiktSNPBobdu2tMj5kOw9N7lA52DX_d-NcEXUhtnC4eYE9WTpaMbopvo3pf2HOgc8Q6nTC16vaKlM8YxRJ1dmKgeM0Zql1CG1p7iv-_TMhwXE1J5tWUSNCf-JXk2ap_w1WPdku8fd9-uP1W3X28-X7-_rUwjGauAMSEHyWtllO5EuYHgdctb1apuaE0nW9VgZyQfDDaDFR0DKLXlNT81Nlvy9uydY_i5YMr90SWD3usJw5J6EKAkKCiaLXl3Rk0MKUUc-zm6o45rD6w_5dGX1fqHPAr75lFblkP7l_wTQAGuzsC987j-39R_2H05K38DhwGXOw</recordid><startdate>201404</startdate><enddate>201404</enddate><creator>Takimoto, Kengo</creator><creator>Imai, Yoshihito</creator><creator>Matsuyama, Kiichi</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201404</creationdate><title>Endoscopic tissue shielding method with polyglycolic acid sheets and fibrin glue to prevent delayed perforation after duodenal endoscopic submucosal dissection</title><author>Takimoto, Kengo ; Imai, Yoshihito ; Matsuyama, Kiichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3600-10056b6428c8a9500515427478789b7c96783e9c64bce3bd590113bd742456b63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Absorbable Implants</topic><topic>Aged</topic><topic>Carcinoma - diagnosis</topic><topic>Carcinoma - surgery</topic><topic>Dissection</topic><topic>Duodenal Neoplasms - diagnosis</topic><topic>Duodenal Neoplasms - surgery</topic><topic>Duodenoscopy - adverse effects</topic><topic>Duodenoscopy - methods</topic><topic>endoscopic submucosal dissection (ESD)</topic><topic>endoscopic tissue shielding</topic><topic>Female</topic><topic>fibrin glue</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Intestinal Mucosa - pathology</topic><topic>Intestinal Mucosa - surgery</topic><topic>Intestinal Perforation - prevention & control</topic><topic>Male</topic><topic>Polyglycolic Acid - pharmacology</topic><topic>polyglycolic acid sheet</topic><topic>Postoperative Complications - prevention & control</topic><topic>Risk Assessment</topic><topic>Sampling Studies</topic><topic>superficial non‐ampullary duodenal epithelial tumor (SNADET)</topic><topic>Time Factors</topic><topic>Tissue Adhesives - therapeutic use</topic><topic>Treatment Outcome</topic><topic>Wound Closure Techniques</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Takimoto, Kengo</creatorcontrib><creatorcontrib>Imai, Yoshihito</creatorcontrib><creatorcontrib>Matsuyama, Kiichi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Digestive endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Takimoto, Kengo</au><au>Imai, Yoshihito</au><au>Matsuyama, Kiichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endoscopic tissue shielding method with polyglycolic acid sheets and fibrin glue to prevent delayed perforation after duodenal endoscopic submucosal dissection</atitle><jtitle>Digestive endoscopy</jtitle><addtitle>Dig Endosc</addtitle><date>2014-04</date><risdate>2014</risdate><volume>26</volume><issue>S2</issue><spage>46</spage><epage>49</epage><pages>46-49</pages><issn>0915-5635</issn><eissn>1443-1661</eissn><abstract>Delayed perforation after duodenal endoscopic submucosal dissection (ESD) occurs at a high rate because the duodenal wall is very thin and the artificial ulcer after resection is exposed to bile and pancreatic juice. We investigated the application of the combination of a polyglycolic acid (PGA) sheet and fibrin glue. PGA sheets comprise materials widely used in surgery for absorbable thread. Fibrin glue is a heated blood product and is used for hemostasis during operations. We developed a combined method using both materials. We have used this method in two cases. One case involved an elevated lesion located in the lower duodenal angle of the duodenum. The other involved an elevated lesion in the second portion of the duodenum. About 1 week after ESD, the PGA sheets remained covering the ulcer and delayed perforation did not occur. We were able to easily carry out this method for several parts of the duodenum. This method may be helpful for the prevention of delayed perforation after duodenal ESD.</abstract><cop>Australia</cop><pmid>24750148</pmid><doi>10.1111/den.12280</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Wiley Journals |
| subjects | Absorbable Implants Aged Carcinoma - diagnosis Carcinoma - surgery Dissection Duodenal Neoplasms - diagnosis Duodenal Neoplasms - surgery Duodenoscopy - adverse effects Duodenoscopy - methods endoscopic submucosal dissection (ESD) endoscopic tissue shielding Female fibrin glue Follow-Up Studies Humans Intestinal Mucosa - pathology Intestinal Mucosa - surgery Intestinal Perforation - prevention & control Male Polyglycolic Acid - pharmacology polyglycolic acid sheet Postoperative Complications - prevention & control Risk Assessment Sampling Studies superficial non‐ampullary duodenal epithelial tumor (SNADET) Time Factors Tissue Adhesives - therapeutic use Treatment Outcome Wound Closure Techniques |
| title | Endoscopic tissue shielding method with polyglycolic acid sheets and fibrin glue to prevent delayed perforation after duodenal endoscopic submucosal dissection |
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