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How familiar are we with decision-making concerning the treatment of perforation after endoscopic mucosal resection (EMR) in the colon? A case report
Region Östergötland, Heart and Medicine Center, Department of Gastroentorology.
Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Gastroentorology.
Region Östergötland, Heart and Medicine Center, Department of Gastroentorology.
Region Östergötland, Heart and Medicine Center, Department of Gastroentorology.
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2018 (English)In: Endoscopy International Open, ISSN 2196-9736, E-ISSN 2196-9736, Vol. 6, no 3, p. E308-E312Article in journal (Refereed) Published
Abstract [en]

Background and study aims We describe a case of perforation after colonic endoscopic mucosal resection (EMR) that was treated conservatively. We would like to highlight the importance of decision-making mainly based on the endoscopists point of view in combination with the surgical consultation. Although the radiological imaging is always needed, it cannot solely lead to a decision for operation. Intraperitoneal gas in computed tomography is not always associated with a hole in the endoscopic field and could be possibly explained from a "balloon" phenomenon. The amount of extraluminal air after an EMR does not correlate reciprocally with patients pain after the procedure. Even though perforation is a radiological diagnosis and endoscopists should be aware of the common post-EMR radiological findings, the surgical examination is mandatory and should be coupled with the endoscopic opinion in order to guide appropriately the treatment in patients with acute pain.

Place, publisher, year, edition, pages
Georg Thieme Verlag KG, 2018. Vol. 6, no 3, p. E308-E312
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Gastroenterology and Hepatology
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URN: urn:nbn:se:liu:diva-155833DOI: 10.1055/s-0043-123932PubMedID: 29507871OAI: oai:DiVA.org:liu-155833DiVA, id: diva2:1299852
Available from: 2019-03-28 Created: 2019-03-28 Last updated: 2019-04-12

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Hjortswang, Henrik

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Tribonias, GeorgeDaferera, NikiManola, Margarita-EleniSvernlöv, RikardIgnatova, SimoneHjortswang, Henrik
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Department of GastroentorologyDivision of Neuro and Inflammation ScienceFaculty of Medicine and Health SciencesDivison of NeurobiologyClinical pathology
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