Endoscopic Clip Ligation on Mucosal Defect after Endoscopic Mucosal Resection

Chung, Kyu Won; Sun, Hee Sik; Park, Soo Heon; Choi, Myung Gyu; Kim, Jae Kwang; Cho, Se Hyun; Choi, Jong Young; Bhang, Choon Sang; Han, Jun Yul

Abstract

The main complications associated endoscopic mucosal resection are bleeding and perforation and the rate of complication is increasing in larger size of mucosal resection. We used a new method of endoscopic clipping technique for ligation on the large mucosal defect after endoscopic mucosal resection. A 53-year-old female patient visited our hospital because of epigastric pain. Endoscopic examination revealed a type IIa EGC(early gastric cancer) below angle. The endoscopic mucosal resection was performed and the size of resected specimen was 2.7x2.5cm. The mucosal defect was ligated with 6 hemoclips(Olympus, MD-850) after approximation of both resected margins by grasping forceps(Olympus, FG-4L). Follow up endoscopic examination revealed good quality of ulcer healing. The Endoscopic clipping technique might also be useful for treatment of minor perforation.