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Successful use of OTSC® (Over-The-Scope Clip) in the treatment of iatrogenic colon perforation


Authors: M. Stefanová 1;  J. Martínek 1;  F. Závada 1;  Š. Suchánek 1;  D. Langer 2;  I. Buřič 3;  M. Ryska 2;  M. Zavoral 1
Authors‘ workplace: Univerzita Karlova, Interní klinika 1. LF UK a ÚVN Praha 1;  Univerzita Karlova, Chirurgická klinika 2. LF UK a ÚVN Praha 2;  Radiodiagnostické oddělení, ÚVN Praha 3
Published in: Gastroent Hepatol 2011; 65(1): 30-32
Category: Digestive Endoscopy: Case Report

Overview

Bowel perforation during diagnostic colonoscopy occurs at a frequency of 0.09%. The risk of perforation is higher in elderly women after surgery or in those with diverticular disease. Our case report describes the first successful use of OTSC® (Over-The-Scope-Clip) in the Czech Republic in the treatment of iatrogenic perforation of the sigmoid colon occurring during diagnostic colonoscopy.

Key words:
perforation – OTSC®


Sources

1. Voermans RP, van Berge Henegou­wen MI, Bemelman WA et al. Novel over-the-scope-clip system for gastrotomy closure in natural orifice ransluminal ndoscopic surgery (NOTES): an ex vivo comparison study. Endoscopy 2009; 41(12): 1052–1055.

2. Damore LJ, Rantis PC, Vernava AM et al. Colonoscopic perforations. Etiology, diagnosis, and management. Dis Colon Rectum 1996; 39(11): 1308–1314.

3. Martínek J, Kovačová S, Nosek V et al. Successful endoscopic treatment (clipping) of esophageal perforation dutiny balloon dilatation in a patient with achalasia. Endoscopy 2008; 40: E61–E62.

4. Seebach L, Bauerfeind P, Gubler C. Sparing the surgeon: Clinical experience with over-the-scope-clips for gastrointestinal perforation. Endoscopy 2010; 42: 1108–1111.

Labels
Paediatric gastroenterology Gastroenterology and hepatology Surgery
Topics Journals
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