Endoscopic Closure of Duodenal Perforation with the Over-the-scope-clipping System
نویسندگان
چکیده
Endoscopic treatment for superficial non-ampullary duodenal tumors is technically difficult and challenging due to the anatomical characteristics of the duodenum. It is frequently complicated by procedural accidents, such as perforation. Surgical repair has long been the standard treatment for acute iatrogenic gastrointestinal perforation. However, endoscopic closure has recently emerged as an attractive alternative. In the patient presented herein, the over-the-scope-clipping system (OTSC system) was found to be useful for closing a duodenal perforation that had occurred during endoscopic submucosal dissection. For endoscopists who perform endoscopic treatment of the duodenum, endoscopic closure with the OTSC system is considered to be a technique that is necessary to master.
منابع مشابه
Endoscopic closure of an endoscope-related duodenal perforation using the over-the-scope clip.
Perforations of the duodenum are a significant source of morbidity in clinical practice. Surgical repair is usually mandated, but it is associated with significant morbidity and mortality. Until recently, there has been no technique available which reproducibly and safely allowed endoscopic closures of penetrating defects within the digestive tract. With the new over-the-scope clipping system",...
متن کاملPolypoid nodular scar after endoscopic submucosal dissection in the gastric antrum.
1. Schurr MO, Hartmann C, Ho CN, et al. An Over-the-scope clip (OTSC) system for closure of iatrogenic colon perforations: Results of an experimental survival study in pigs. Endoscopy. 2008;40:584--8. 2. Kirschniak A, Kratt T, Stüker D, et al. A new endoscopic overthe-scope clip system for treatment of lesions and bleeding in the GI tract: First clinical experiences. Gastrointest Endosc. 2007;6...
متن کاملRecent Advanced Endoscopic Management of Endoscopic Retrograde Cholangiopancreatography Related Duodenal Perforations
The management strategy for endoscopic retrograde cholangiopancreatography-related duodenal perforation can be determined based on the site and extent of injury, the patient's condition, and time to diagnosis. Most cases of perivaterian or bile duct perforation can be managed with a biliary stent or nasobiliary drainage. Duodenal wall perforations had been treated with immediate surgical repair...
متن کاملSuccessful endoscopic management of large upper gastrointestinal perforations following EMR using over-the-scope clipping combined with stenting.
Large iatrogenic gastrointestinal perforations (greater than 15–20mm) following therapeutic endoscopy remain a challenge despite growing expertise in endoscopic perforation closure techniques. Current treatment options include stenting [1,2] or clipping, including the use of an over-the-scope clipping device [3–5]. We present our experience using a combination of over-the-scope clipping and ste...
متن کاملEndoscopic repair of duodenal perforation with over-the-scope clipping system and endoclips: a case report.
Herein, we present an endoscopic repair of iatrogenic duodenal perforation by over-the-scope clipping system (OTSC) and endoclips in an 84-year-old woman that occurred during linear endosonography (EUS) examination. One OTSC and 8 clips were used for repairing the perforation hole. After 3 days in the intensive care unit (ICU) by chest tube and without oral feeding, she was discharged from the ...
متن کامل