Successful endoscopic repair of an unusual colonic perforation following polypectomy using an endoclip device.

Abstract:

:Colonic perforation during endoscopic diagnostic or therapeutic procedures, represents an uncommon occurrence even if, together with haemorrhage, it is still the most common complication of colonoscopy, with an incidence ranging between 0.1% and 2% of all colonoscopic procedures. The ideal treatment in these cases remains elusive as the endoscopist and the surgeon have to make a choice case by case, depending on many factors such as how promptly the rupture is identified, the condition of the patient, the degree of contamination and the evidence of peritoneal irritation. Surgical interventions both laparotomic and laparoscopic, and other medical non-operative solutions are described in the literature. Only three cases have been reported in the literature in which the endoscopic apposition of endoclips was used to repair a colonic perforation during colonoscopy. Ours is the first case that the perforation itself was caused by the improper functioning of a therapeutic device.

journal_name

World J Gastroenterol

authors

Barbagallo F,Castello G,Latteri S,Grasso E,Gagliardo S,La Greca G,Di Blasi M

doi

10.3748/wjg.v13.i20.2889

subject

Has Abstract

pub_date

2007-05-28 00:00:00

pages

2889-91

issue

20

eissn

1007-9327

issn

2219-2840

journal_volume

13

pub_type

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