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 

机构地区：[1]Department of Surgical Sciences,Transplantation and Advanced Technologies,University of Catania,Padiglione 29,Policlinico Universitario,Via S. Sofia,Catania 95100,Italy [2]Digestive Endoscopic Unit,University of Catania,P.O. Cannizzaro,Via Messina 829,Catania 95126,Italy

出　　处：《World Journal of Gastroenterology》2007年第20期2889-2891,共3页世界胃肠病学杂志（英文版）

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.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.

关 键 词：POLYPECTOMY Colonic perforation Endoscopic device PNEUMOPERITONEUM 

分 类 号：R656.9[医药卫生—外科学]