Progress of Digestive Endoscopy
Online ISSN : 2187-4999
Print ISSN : 1348-9844
ISSN-L : 1348-9844
症例
十二指腸病変の内視鏡治療におけるポリグリコール酸シートとフィブリン糊による被蓋法の経験
阿部 正和草野 央鈴木 翔古賀 幹教河野 真佐藤 丈征桑田 直子福澤 誠克後藤田 卓志森安 史典
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2015 年 87 巻 1 号 p. 150-151

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A lot of adverse event were happened after endoscopic resection for nonampullary duodenal tumors. We suggest that useful of PGA sheets and fibrin glue these two studies.
[Case 1] The patient was a 77-year-old man. Endoscopic mucosal resection was performed for a type 0-IIa lesion located in 2nd portion of duodenum. A PGA sheet was applied to the opening of the ulcer base after resection via biopsy forceps, after which fibrin glue was applied. [Case 2] The patient was a 53-year-old man. Endoscopic submucosal dissection was performed for a type 0-IIc lesion located in 2nd portion of duodenum. The ulcer was covered the same way as described for Case 1.
These cases indicate that shielding method with PGA sheets and fibrin glue can be effective and safe to prevent adverse events such as delayed bleeding and perforation after endoscopic resection for nonampullary duodenal tumors.
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© 2015 一般社団法人 日本消化器内視鏡学会 関東支部
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