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- Title
Prophylactic Suturing Closure Is Recommended after Endoscopic Treatment of Colorectal Tumors in Patients with Antiplatelet/Anticoagulant Therapy.
- Authors
Sakurai, Toshiharu; Adachi, Teppei; Kono, Masashi; Arizumi, Tadaaki; Kamata, Ken; Minaga, Kosuke; Yamao, Kentaro; Komeda, Yoriaki; Takenaka, Mamoru; Hagiwara, Satoru; Watanabe, Tomohiro; Nishida, Naoshi; Kashida, Hiroshi; Kudo, Masatoshi
- Abstract
The prophylactic closure of mucosal defects after endoscopic resection is known to prevent postoperative bleeding in colorectal lesions. However, closure of large mucosal defects is difficult with conventional clips only, and several closure techniques have been previously described; use of an Endoloop, 8-ring loop, or loop clip and a small incision around the mucosal defect. Given that the prophylactic closure requires much cost and time, the application should be limited to high-risk cases. Medication of antithrombotics or antiplatelet agents would be one of the reasonable indications for prophylactic closure of mucosal defects after endoscopic resection of colorectal tumors.
- Subjects
ANTICOAGULANTS; HEMORRHAGE prevention; PREVENTIVE medicine; PREVENTION of surgical complications; SURGERY; PLATELET aggregation inhibitors; COLON tumors; MEDICAL care costs; RECTUM tumors; SURGICAL instruments; SUTURES; ENDOSCOPIC gastrointestinal surgery; ECONOMICS; THERAPEUTICS
- Publication
Oncology, 2017, Vol 93, p27
- ISSN
0030-2414
- Publication type
Article
- DOI
10.1159/000481226