| Autor: |
Chaves J; Department of Gastroenterology, Porto Comprehensive Cancer Center, Porto, Portugal., Ventura S; Department of Gastroenterology, Centro Hospitalar Tondela-Viseu, Viseu, Portugal., Vasconcelos AC; Department of Gastroenterology, Porto Comprehensive Cancer Center, Porto, Portugal., Sá I; Department of Gastroenterology, Porto Comprehensive Cancer Center, Porto, Portugal., Dinis-Ribeiro M; Department of Gastroenterology, Porto Comprehensive Cancer Center, Porto, Portugal; Department of Community, Medicine, Health Information, and Decision, Faculty of Medicine, University of Porto, Porto, Portugal., Libânio D; Department of Gastroenterology, Porto Comprehensive Cancer Center, Porto, Portugal; Department of Community, Medicine, Health Information, and Decision, Faculty of Medicine, University of Porto, Porto, Portugal. |
| Abstrakt: |
Competing Interests: Disclosure All authors disclosed no financial relationships. Commentary Creation of unique and successful ways to manage adverse events is a critical component of therapeutic endoscopy. In this case, the authors describe an adverse event after endoscopic submucosal dissection of a large rectal laterally spreading tumor. Historically, most delayed perforations such as that seen in this case would require surgical management; however, the authors used EVT along with antibiotic therapy and parenteral nutrition to treat the perforation. At the 3-month follow-up visit, there was evidence of compete closure of the perforation and tissue healing. As the complexity of endoscopic procedures advances, so must the techniques and devices available to manage adverse events. The use of an endoluminal vacuum, as demonstrated in this case, is a great alternative option to treat a perforation adverse event, especially in a patient at high risk for surgery. Brianna Shinn, MD, Assistant Professor of Clinical Medicine, Perelman School of Medicine, Division of Gastroenterology and Hepatology, Hospital of University of Pennsylvania, Philadelphia, Pennsylvania, USA Amy Tyberg, MD, FASGE, FACG, Associate Editor for Focal Points |
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