Iatrogenic Rectal Perforation During Operative Colonoscopy: Closure With Endoluminal Clips
نویسندگان
چکیده
The risk of perforation during diagnostic or operative colonoscopy can be as high as 2%. Despite conservative treatment being acceptable, the closure of the perforation is usually mandatory, and surgery (either open or laparoscopic) is commonly advocated as rescue therapy. Currently, with the availability of the Endoclip, endoscopists are able to manage iatrogenic perforations avoiding surgery. Clip placement, if necessary, will not delay surgery and might help the surgeon find the site of perforation. However, data in the literature are scant, especially for the closure of large colonic defects. Endoscopic repair using Endoclip devices for a large high rectal perforation following polypectomy is described herein.
منابع مشابه
Closure of an iatrogenic rectal perforation with the endoloop/clips technique in a purse-string fashion
The endoloop/clips technique was first used by Endo et al [1] to close large mucosal defect in 32 patients after endoscopic mucosal resection of gastric mucosal tumors. By using this technique we recently closed a large (>3 cm) oval rectal perforation after retroflexion of the colonoscope in a healthy rectum during colonoscopy [2]. We herein describe a new case of successful repair of an iatrog...
متن کاملClosure of a rectal perforation by clipping the margins to presacral tissue.
therapeutic colonoscopy is a rare but serious complication [1]. It is usually managed with immediate open surgery. However, conservative therapy has recently been advocated [2], provided that adequate precolonoscopic bowel preparation hasbeen carriedout and that noperitoneal signs are present [3]. Asymptomatic perforations after colonoscopic polypectomy have been conservatively managed using cl...
متن کاملThe changing management of colonoscopy-associated perforations.
In a stable patient with a ‘clean’ colon, a perforation recognized during colonoscopy (or within a few hours while the preparation is still effective) should be given the chance of endoscopic closure by the primary endoscopist or a colleague more expert in therapeutic techniques. Moving the patient to a fluoroscopy room may assist in confirming successful closure by the injection of radiographi...
متن کاملEndoclip Closure of a Large Colonic Perforation Following Colonoscopic Leiomyoma Excision
BACKGROUND AND OBJECTIVE Endoscopic removal of large colonic submucosal lesions can lead to a higher risk of perforation. Although not as common following diagnostic and therapeutic colonoscopy, it does occur more often following therapeutic colonoscopy. We present a case of a large submucosal mass excised endoscopically, resulting in a large perforation that was closed using endoclips. While e...
متن کاملA novel system for endoscopic closure of iatrogenic colon perforations using the Ovesco® clip and omental patch.
The growing endoscopic activity, both diagnostic and therapeutic, are also globally makes frequent endoscopic complications, perforation being one of the most serious. However, we also have more possibilities for endoscopic resolution of iatrogenic caused. We report the case of a sigmoid perforation during a colonoscopy that was resolved satisfactorily, avoiding surgery, by endoscopic closure w...
متن کامل