Rescue endoscopic band ligation of iatrogenic gastric perforations following failed endoclip closure  

作　　者：Joung-Ho Han Tae Hoon Lee Yunho Jung Suck-Ho Lee Hyun Kim Hye-Suk Han Heebok Chae Seon Mee Park Seijin Youn 

机构地区：[1]Division of Gastroenterology,Department of Internal medicine,Chungbuk National University College of Medicine,Cheongju 361-711,South Korea [2]Division of Gastroenterology,Department of Internal Medicine,Soon Chun Hyang University College of Medicine,Cheonan Hospital,Cheonan 330-721,South Korea

出　　处：《World Journal of Gastroenterology》2013年第6期955-959,共5页世界胃肠病学杂志（英文版）

基　　金：Supported by Grant of the Korea Healthcare Technology Rand D Project,Ministry of Health and Welfare,South Korea,NoA100054

摘　　要：Iatrogenic gastric perforation is one of the most serious complications during therapeutic endoscopy,despite significant advances in endoscopic techniques and devices.This case study evaluated the clinical efficacy and safety of the rescue endoscopic band ligation (EBL) technique in iatrogenic gastric wall perforation following the failure of primary endoclip closure.Five patients were enrolled in this study.These patients underwent emergency endoscopy following the onset of acute gastric wall perforation during endoscopic procedures.The outcome measurements were primary technical success and immediate or delayed procedure-related complications.Successful endoscopic closure using band ligation was reported in all patients,with no complication occurring.We conclude that EBL may be a feasible and safe alternate technique for the management of acute gastric perforation,especially in cases where closure is difficult with endoclips.Iatrogenic gastric perforation is one of the most serious complications during therapeutic endoscopy, despite significant advances in endoscopic techniques and devices. This case study evaluated the clinical efficacy and safety of the rescue endoscopic band ligation (EBL) technique in iatrogenic gastric wall perforation following the failure of primary endoclip closure. Five patients were enrolled in this study. These patients underwent emergency endoscopy following the onset of acute gastric wall perforation during endoscopic procedures. The outcome measurements were primary technical success and immediate or delayed procedure-related complications. Successful endoscopic closure using band ligation was reported in all patients, with no complication occurring. We conclude that EBL may be a feasible and safe alternate technique for the management of acute gastric perforation, especially in cases where closure is difficult with endoclips.

关 键 词：Gastric PERFORATION Endoscopy Band LIGATION 

分 类 号：R656.6[医药卫生—外科学]