Per journal article: risk factors for serious adverse events associated with multiband mucosectomy in barrett¿s esophagus: an international multicenter analysis of 3827 endoscopic resection procedures.Belghazi et al.2020.Perforation - perforation occurred in 17 out of 3,827 procedures accounting for a perforation rate of 0.4% (95% ci, 0.3 ¿ 0.7) the vast majority of patients (14/17) could be treated endoscopically with clips (n=11) or a combination of clips and a stent (n=3).The endoscopically and conservatively treated patients were admitted for a median of 4 days (iqr 1 ¿ 5), and all cases were considered to be mild (n=7) or moderate (n=8) adverse events.In one patient clipping was not successful due to poor tissue grasping.This patient was therefore treated conservatively with antibiotics.Two patients ) were referred for surgery; both were graded as severe adverse events.In the first patient, er was performed because of a local recurrence after a large er.During the procedure, a perforation occurred within the previous er site.Because there was clear evidence of residual neoplasia, the decision was made to perform an emergency esophagectomy as local control of the disease was not achieved.In one patient clipping was not successful due to poor tissue grasping.This patient was therefore treated conservatively with antibiotics.Two patients) were referred for surgery; both were graded as severe adverse events.In the first patient, er was performed because of a local recurrence after a large er.During the procedure, a perforation occurred within the previous er site.Because there was clear evidence of residual neoplasia, the decision was made to perform an emergency esophagectomy as local control of the disease was not achieved.In the second patient, a perforation was observed immediately after the first resection.Because of the combination of residual neoplasia and periesophageal scarring after prior surgery for placement of an angelchik prosthesis, endoscopic treatment was not considered and the patient underwent an esophagectom.The data from this paper was obtained from 7 countries 7 countries ((b)(6), united states) as an exact location cannot be determine for the complaints, a complaint has been originated for each location.
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