Esophageal muscle layer tear during endoscopic submucosal dissection treated by polyglycolic acid sheets and fibrin glue

Yukimoto, Hiroki; Tanaka, Kyosuke; Umeda, Yuhei; Tsuboi, Junya; Hattori, Aiji; Yamada, Reiko; Hamada, Yasuhiko

doi:10.1055/a-1071-7527

Cited by 5 publications

(6 citation statements)

References 5 publications

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“…They found that the group using staplers with a PGA sheet significantly reduced tube withdrawal ( P < 0.01) and discharge times ( P < 0.01). In another study in patients having problems other than bronchial and lung diseases, they successfully treated a patient who developed an oesophageal muscle rupture during endoscopic submucosal dissection with a PGA sheet and fibrin glue 20 . In our study, we used the PGA patch differently.…”

Section: Discussionmentioning

confidence: 99%

“…In another study in patients having problems other than bronchial and lung diseases, they successfully treated a patient who developed an oesophageal muscle rupture during endoscopic submucosal dissection with a PGA sheet and fibrin glue. 20 In our study, we used the PGA patch differently. In Group 2 (n = 19; 54.3%) cases, the PGA patch was used to prevent air leaks after pleural decortication.…”

Section: Discussionmentioning

confidence: 99%

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Effectiveness of the polyglycolic acid patch in preventing prolonged air leakage after pulmonary decortication

Haberal

Akar

Dikiş

et al. 2022

ANZ Journal of Surgery

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Aim This study aimed to investigate the effectiveness of an absorbable polyglycolic acid patch (PGA) in the early prevention of alveolar air leaks after pulmonary decortication operations. Methods Between January 2016 and December 2019, files of 185 patients with pleural effusion, empyema, or hemothorax were examined retrospectively. Thirty‐five patients who underwent decortication surgery were included in the study. Two‐way posteroanterior (PA) chest x‐ray, computed tomography (CT), pulmonary function tests (PFT), arterial blood gas, hemogram, and biochemical tests were performed for all patients before the operation. The patients were divided into two groups. Group 1 was composed of 16 patients (45.7%) with standard decortication, and Group 2 was formed with 19 patients (54.3%) with standard decortication + PGA patch. Results The median age was 55 years (minimum = 25, maximum = 75) and the vast majority (82.9%; n = 29) of patients were males. There was no significant difference between groups in age, aetiology, or sex. The most common etiological cause in both Group 1 and Group 2 was nonspecific infection (56.3% and 73.7%, respectively). When Group 2 and Group 1 were compared regarding median times (day) of air leak cessation (Group 2 = 4; Group 1 = 8.5), chest drain removal (Group 2 = 5; Group 1 = 10), and hospital discharge times (Group 2 = 8; Group 1 = 13),the durations were statistically significantly shorter in Group 2 than in Group 1 (P < 0.001). Conclusion Use of the PGA patch in pulmonary decortication operations significantly reduced the duration of air leaks, drain removal, and discharge time from the hospital in the postoperative period.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effectiveness of the polyglycolic acid patch in preventing prolonged air leakage after pulmonary decortication

Haberal

Akar

Dikiş

et al. 2022

ANZ Journal of Surgery

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“…P OST-ER MUCOSAL DEFECT closure requires a single clip to grasp the defect edges, and several methods and devices have been proposed to bring the edges closer. 29,31,32,34,37,[74][75][76][77][78][79][80][81][82][83][84][85][86][87][88] Recently, a new device using a reopenable clip with a ring has been devised. 89 In existing reports, the clip and the ring were separated, and the ring could drop into the gastrointestinal tract when the clip was set under endoscopic view.…”

Section: Defect Closure Using Clips and Special Devicesmentioning

confidence: 99%

Suturing techniques with endoscopic clips and special devices after endoscopic resection

Nomura

Sugimoto

Temma

et al. 2022

Digestive Endoscopy

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Endoscopic submucosal dissection is an established method for complete resection of large and early gastrointestinal tumors. However, methods to reduce bleeding, perforation, and other adverse events after endoscopic resection (ER) have not yet been defined. Mucosal defect closure is often performed endoscopically with a clip. Recently, reopenable clips and large‐teeth clips have also been developed. The over‐the‐scope clip enables complete defect closure by withdrawing the endoscope once and attaching the clip. Other methods involve attaching the clip‐line or a ring with an anchor to appose the edges of the mucosal defect, followed by the use of an additional clip for defect closure. Since clips are limited by their grasping force and size, other methods, such as endoloop closure, endoscopic ligation with O‐ring closure, and the reopenable clip over‐the‐line method, have been developed. In recent years, techniques often utilized for full‐thickness ER of submucosal tumors have been widely used in full‐thickness defect closure. Specialized devices and techniques for defect closure have also been developed, including the curved needle and line, stitches, and an endoscopic tack and suture device. These clips and suture devices are applied for defect closure in emergency endoscopy, accidental perforations, and acute and chronic fistulas. Although endoscopic defect closure with clips has a high success rate, endoscopists need to simplify and promote endoscopic closure techniques to prevent adverse events after ER.

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“…Its application has been reported to result in successful treatment of esophageal perforation and muscular layer injury resulting from ESD; it can also reduce post-ESD bleeding in patients who need to keep taking anticoagulants. [66][67][68] Carboxymethyl cellulose The application of carboxymethyl cellulose (CMC) also involves covering the mucosal defect surface, and it is easy to adhere. In a pig model experiment, Tang et al [69] observed that, in the CMC group, the degrees of submucosal fibrosis and muscular layer injury were lower, epithelialization was greater, and the level of TGF-β1 in the serum was lower.…”

Section: Polyglycolic Acidmentioning

confidence: 99%

Section: Wound Protectionmentioning

confidence: 99%

Advances in the prevention and treatment of esophageal stricture after endoscopic submucosal dissection of early esophageal cancer

Zhang

Wang

et al. 2020

Journal of Translational Internal Medicine

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Endoscopic submucosal dissection (ESD) has become the main treatment for early esophageal cancer. While treating the disease, ESD may also cause postoperative esophageal stricture, which is a global issue that needs resolution. Various methods have been applied to resolve the problem, such as mechanical dilatation, glucocorticoids, anti-scarring drugs, and regenerative medicine; however, no standard treatment regimen exists. This article describes and evaluates the strengths and limitations of new and promising potential strategies for the treatment and prevention of esophageal strictures.

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Esophageal muscle layer tear during endoscopic submucosal dissection treated by polyglycolic acid sheets and fibrin glue

Cited by 5 publications

References 5 publications

Effectiveness of the polyglycolic acid patch in preventing prolonged air leakage after pulmonary decortication

Effectiveness of the polyglycolic acid patch in preventing prolonged air leakage after pulmonary decortication

Suturing techniques with endoscopic clips and special devices after endoscopic resection

Advances in the prevention and treatment of esophageal stricture after endoscopic submucosal dissection of early esophageal cancer

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