Is endoscopic closure with clips effective for both diagnostic and therapeutic colonoscopy-associated bowel perforation?

Yang, Dan; Byeon, Jeong‐Sik; Lee, Kyung-Hoon; Yoon, Soon Man; Kim, Kyung Jo; Ye, Byong Duk; Myung, Seung‐Jae; Yang, Suk-Kyun; Kim, Jin-Ho

doi:10.1007/s00464-009-0746-2

Cited by 59 publications

(33 citation statements)

References 21 publications

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“…Endoscopic closure is effective in creating a leak-proof seal of the perforation, healing of the perforation, preventing peritonitis, limiting peritoneal adhesions, and avoiding surgery. 47,[58][59][60][61][62][63][64][65][66][67][68][69][70] …”

Section: Managementmentioning

confidence: 99%

Endoscopic management of colonoscopic perforations (with videos)

Raju

Saito²,

Matsuda³

et al. 2011

Gastrointestinal Endoscopy

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Section: Managementmentioning

confidence: 99%

Endoscopic management of colonoscopic perforations (with videos)

Raju

Saito²,

Matsuda³

et al. 2011

Gastrointestinal Endoscopy

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“…31,33 Contrastly therapeutic polypectomy induced perforation has a smaller defect (mean size 5.8 mm), and most patients can be treated conservatively. 31,33 In addition, EMR related perforation can be immediately recognized if there is a "target sign" (Fig. 1) indicating muscularis propria injury in the resected specimen.…”

Section: 24mentioning

confidence: 99%

“…4) provided successful closure rate at 75.86% to 95.65% in retrospective series. 33,[92][93][94][95] Predictors for the need of surgery within 24 hours after clipping are perforation size 10 mm or more, leukocytosis, fever, severe abdominal pain, and large amount of peritoneal free air indicated by a distance between right diaphragm and upper border of liver of 3 cm or more.…”

Section: Duodenal Perforationmentioning

confidence: 99%

Endoscopic closure of iatrogenic perforation

Angsuwatcharakon

Rerknimitr

2016

Int J Gastrointest Interv

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A B S T R A C TIatrogenic perforation of the gastrointestinal (GI) tract is one of the serious complications in GI endoscopy. With the advancement in technique of GI endoscopy especially therapeutic endoscopy, the risk of perforation has increased. Prompt detection is the only way to avoid delay treatment and poor outcome. Recently, there are new instruments and techniques developed that can be reliably applied for an endoscopic closure without the need for surgery. Therefore, endoscopists should be familiar with these instruments as the result of successful endoscopic closure has lower rate of morbidity than surgery. In this review, the techniques of endoscopic closure are described according to the organs of perforation. In addition, the general knowledge and management of perforation in other aspects including tension pneumothorax, abdominal compartment syndrome, or infection induced by contamination of GI content are explained.

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“…In delayed recognition, clipping should be considered only if the patient is stable and a specific site is highly suspected, mainly in rectosigmoid location [112]. When comparing diagnostic and therapeutic colonoscopy-associated perforation, the former is usually larger, irregular and sometimes not immediately recognized in terms of location, thus it is more prompt for surgical approach [113]. Surgery is indicated in patients with large perforations, generalized peritonitis or ongoing sepsis as well as in patients with concomitant pathology, such as a large sessile polyp likely to be a carcinoma, unremitting colitis, or obstructing colonic lesion.…”

Section: Location Particularitiesmentioning

confidence: 99%

Emergencies after endoscopic procedures

Rolanda

Caetano

Dinis-Ribeiro

2013

Best Practice & Research Clinical Gastroenterology

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Keywords:GI endoscopy adverse events GI emergencies Bleeding Haemorrhage Perforation Infection Embolization Diagnosis and management of severe complications a b s t r a c t Endoscopy adverse events (AEs), or complications, are a rising concern on the quality of endoscopic care, given the technical advances and the crescent complexity of therapeutic procedures, over the entire gastrointestinal and bilio-pancreatic tract. In a small percentage, not established, there can be real emergency conditions, as perforation, severe bleeding, embolization or infection. Distinct variables interfere in its occurrence, although, the awareness of the operator for their potential, early recognition, and local organized facilities for immediate handling, makes all the difference in the subsequent outcome. This review outlines general AEs' frequencies, important predisposing factors and putative prophylactic measures for specific procedures (from conventional endoscopy to endoscopic cholangio-pancreatography and ultrasonography), with comprehensive approaches to the management of emergent bleeding and perforation.

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Is endoscopic closure with clips effective for both diagnostic and therapeutic colonoscopy-associated bowel perforation?

Cited by 59 publications

References 21 publications

Endoscopic management of colonoscopic perforations (with videos)

Endoscopic management of colonoscopic perforations (with videos)

Endoscopic closure of iatrogenic perforation

Emergencies after endoscopic procedures

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