Endoscopic repair by clipping of iatrogenic colonic perforation

Yoshikane, Hiroaki; Hidano, Hitoshi; Sakakibara, Akira; Ayakawa, Tadao; Mori, Sumito; Kawashima, Hiroki; Goto, Hidemi; Niwa, Yasumasa

doi:10.1016/s0016-5107(97)70045-2

Cited by 159 publications

(91 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Endo-clip procedures have been reported in the literature since 1997, as well as successful repairs of large intestinal perforations with combinations of endo-clips and endo-loops (33)(34)(35). Also, closure of intestinal perforations with injection of fibrin glue has been reported (36).…”

Section: Discussionmentioning

confidence: 99%

Colonoscopic perforations: Single center experience and review of the literature

Çolak¹,

Gürbulak²,

Bektaş³

et al. 2017

Turk J Surg

View full text Add to dashboard Cite

Colonoscopic perforations: Single center experience and review of the literature INTRODUCTION Colonoscopy is accepted as the gold standard imaging modality for the diagnosis of colon and distal ileum diseases. It aids the detection of smaller lesions and tissue sampling and also functions as a therapeutic procedure for intestinal diseases. Similar to other invasive procedures, colonoscopy has been associated with various complications; among these, perforation is the most important. Iatrogenic colonic perforation has high rates of mortality and morbidity. It is mainly divided into two categories: diagnostic and therapeutic (1, 2). Management includes both medical and surgical approaches. However, the best approach for treatment depends on various factors, such as the patient's general condition, age, comorbidities, and, most importantly, the time between the onset and diagnosis of perforation. In this study, we aimed to evaluate the incidence of perforation in a large colonoscopy series, discuss patient management strategies, and analyze the clinical consequences of iatrogenic colonic perforation. MATERIAL AND METHODSBetween January 2005 and May 2015, a total of 31,655 lower GIS endoscopies were performed at our center. Patients with iatrogenic colonic perforations were investigated retrospectively. All procedures were conducted under sedoanalgesia. The procedures were performed by 27 endoscopists, including 24 general surgeons and 3 gastroenterology specialists. The experience of the endoscopists varied between 2 and 15 years.We analyzed the demographic characteristics of the patients, the type of procedure (therapeutic or diagnostic), indications for colonoscopy and associated colonic disease, location and detection time of perforation, management strategy (operative or nonoperative), and complications.The perforations were detected either during colonoscopy by observing a visible defect in the colonic wall (mesenteric or antimesenteric side) or after the procedure by detecting free intra-abdominal air upon radiological examination. Patients who complained of abdominal pain or distention following 195Objective: Iatrogenic colonic perforation is a well-known complication that can increase mortality and morbidity in patients undergoing colonoscopy. Closer follow-up and a well-planned treatment strategy are required when perforation arises as a complication. The aims of this study are to (1) report our experience with a large colonoscopy series; (2) evaluate the underlying mechanisms of iatrogenic colonic perforation; (3) discuss the ideal period between onset and treatment; and (4) review the current literature regarding the management of iatrogenic colonic perforations. Material and Methods:Patients who underwent colonoscopy between January 2005 and May 2015 at a single center were reviewed retrospectively. Procedures during which colonic perforations occurred were documented and analyzed.Results: Between January 2005 and May 2015, 31,655 patients underwent colonoscopy and 5,214 patients underwent recto-sigmoi...

show abstract

Section: Discussionmentioning

confidence: 99%

Colonoscopic perforations: Single center experience and review of the literature

Çolak¹,

Gürbulak²,

Bektaş³

et al. 2017

Turk J Surg

View full text Add to dashboard Cite

show abstract

“…Recent advances in both endoscopic devices and techniques have led to the introduction of novel approaches, including endoscopic repair by the use of endoclips. In 1997, Yoshikane et al 9 reported the first endoscopic repair of an iatrogenic colonic perforation after endoscopic mucosal resection. After this first report, later reports added strength to the consideration of endoscopic repair of colonic perforation.…”

Section: Discussionmentioning

confidence: 99%

“…After this first report, later reports added strength to the consideration of endoscopic repair of colonic perforation. 9,10,24 With growing experience and further good results of endoscopic repair of perforations, we can predict that many iatrogenic colonic perforations could be managed without open surgery.…”

Section: Discussionmentioning

confidence: 99%

Successful Endoscopic Repair of an Iatrogenic Colonic Perforation During Diagnostic Colonoscopy

Lee

Cheong²

2012

The Journal of the American Board of Family Medicine

View full text Add to dashboard Cite

Colonoscopy is the best method for the diagnosis, treatment, and follow-up of colorectal cancer. Although it is generally considered a safe procedure, complications during colonoscopy may occur. The most serious complication is iatrogenic perforation of the colon. Although rare, it can be potentially lethal, especially when it is not recognized and treated immediately. The traditional management of iatrogenic colonic perforation is surgical repair, either by laparotomy or laparoscopy. However, with the recent improvement of endoscopic devices and techniques, endoscopic repair of iatrogenic colonic perforation using endoclips is considered to be both feasible and effective. We successfully used endoscopic clipping to treat a patient with a large perforation of the colon during diagnostic colonoscopy. We believe that the endoscopic repair avoids unnecessary surgery and reduces medical costs. (J Am Board Fam Med 2012;25:383-389.)

show abstract

“…25 Endoclips have also been used to secure feeding tubes and esophageal prosthesis. 26,27 Here, we describe a novel use for endoscopic mucosal clipping for prevention of probe migration during prolonged ambulatory colonic manometry.…”

Section: Discussionmentioning

confidence: 99%

Is Endoscopic Mucosal Clipping Useful for Preventing Colonic Manometry Probe Displacement?

Rao

Singh

Sadeghi

2010

Journal of Clinical Gastroenterology

View full text Add to dashboard Cite

show abstract

Endoscopic repair by clipping of iatrogenic colonic perforation

Cited by 159 publications

References 15 publications

Colonoscopic perforations: Single center experience and review of the literature

Colonoscopic perforations: Single center experience and review of the literature

Successful Endoscopic Repair of an Iatrogenic Colonic Perforation During Diagnostic Colonoscopy

Is Endoscopic Mucosal Clipping Useful for Preventing Colonic Manometry Probe Displacement?

Contact Info

Product

Resources

About