Endoscopic closure of perforations caused by EMR in the stomach by application of metallic clips

Background: The number of complications associated with use of EMR for early-stage gastric cancer, including perforation, has increased with the increasing use of this procedure. Endoscopic clip application was performed in patients who sustained a perforation as a result of EMR for gastric neoplasm. Patients and methods: Seven patients who underwent endoscopic application of metallic clips to close perforations were studied. The omental patch method was applied in one case with a large perforation. Observations: In all patients, endoscopic clip application successfully closed the perforation of the stomach, which occurred after EMR. No patient required laparotomy. Conclusions: The technique of endoscopic clip application might be useful for treatment of patients who sustain a perforation caused by EMR.