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

作     者：Francesco Barbagallo Giorgio Castello Saverio Latteri Emanuele Grasso Salvatrice Gagliardo Gaetano La Greca Michele Di Blasi 

作者机构：Department of Surgical SciencesTransplantation and Advanced TechnologiesUniversity of CataniaPadiglione 29Policlinico UniversitarioVia S. SofiaCatania 95100Italy Digestive Endoscopic UnitUniversity of CataniaP.O. CannizzaroVia Messina 829Catania 95126Italy 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2007年第13卷第20期

页      面：2889-2891页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：息肉切除术 结肠穿孔 内窥镜 气腹 

摘      要：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.