Endoclip combined with colonic transendoscopic enteral tubing: a new approach for managing iatrogenic colonoscopy perforation.

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  • Additional Information
    • Source:
      Publisher: Springer Country of Publication: Germany NLM ID: 8806653 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-2218 (Electronic) Linking ISSN: 09302794 NLM ISO Abbreviation: Surg Endosc Subsets: MEDLINE
    • Publication Information:
      Publication: 1992- : New York : Springer
      Original Publication: [Berlin] : Springer International, c1987-
    • Subject Terms:
      Colonoscopy*/adverse effects ; Colonoscopy*/methods ; Intestinal Perforation*/etiology ; Intestinal Perforation*/surgery; Humans ; Drainage/adverse effects ; Iatrogenic Disease ; Colon/surgery
    • Abstract:
      Background: Iatrogenic colonoscopy perforation (ICP) is a rare but most serious complication during colonoscopy investigation. However, endoscopic closure plays an important role in the dealing with ICP with the development of endoscopic techniques presently, there are still some portion of patients transferred to surgery.
      Methods: Once a perforation was detected, endoclips were used to closed the defect of the colon. Then a colonic TET was planted inside the colon. The terminal end of the TET was put proximally to or near the location of the perforation. Then gas and fluid was sucked out through the TET with a syringe every 4 h.
      Results: Three cases were treated with endoclip closure and colonic TET drainage. Case 1 was caused by urgent immediate perforation during routine colonoscopy, case 2 was delayed perforation after snare resection, and case 3 was ESD-related perforation. All patients got healed, no one transferred to surgery.
      Conclusions: A combination of endoclip closure and colonic TET drainage might be an easy and potential method in the dealing with different types of ICP. This study may offer a novel paradigm for addressing endoscopy-related intestinal perforations.
      (© 2024. The Author(s).)
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    • Contributed Indexing:
      Keywords: Complication; Endoclip; Iatrogenic colonoscopy perforation; Transendoscopic enteral tube
    • Publication Date:
      Date Created: 20240129 Date Completed: 20240223 Latest Revision: 20240224
    • Publication Date:
      20240224
    • Accession Number:
      PMC10881690
    • Accession Number:
      10.1007/s00464-024-10671-8
    • Accession Number:
      38286837