Endoscopic Management of an Iatrogenic Colonic Perforation Using Standard Hemoclips

Autor: Sanjeev Kumar, Saket Kumar, Sujit Kumar, Vijay Prakash
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Journal of Digestive Endoscopy, Vol 09, Iss 04, Pp 201-204 (2018)
Druh dokumentu: article
ISSN: 0976-5042
0976-5050
DOI: 10.4103/jde.JDE_23_18
Popis: Iatrogenic colonic perforation is an unusual but life‑threatening complication of colonoscopy. The recent advancement in endoscopy technology has made nonoperative treatment a safe and effective option for managing such perforations. A 70‑year‑old man sustained an iatrogenic sigmoid perforation during diagnostic colonoscopy. The abdominal X‑ray showed free gas under diaphragm. He was started on conservative management and intravenous antibiotics. He underwent a second colonoscopy after 2.5‑h, perforation was identified and closed with standard hemoclips. He recovered well and was discharged from hospital 6 days later. There are only a handful of reports in the medical literature describing successful outcomes following endoscopic management. Most of the cases have been managed with over‑the‑scope clips or endoscopic sutures that are quite expensive. In the present report, an iatrogenic sigmoid perforation was managed endoscopically with standard hemoclips. The hemoclip can be an effective, yet economical method of perforation repair in selected cases.
Databáze: Directory of Open Access Journals
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