Endoscopic clipping of perforation following pneumatic dilation of esophagojejunal anastomotic strictures.
Two patients with small perforations occurring after endoscopic balloon dilation of esophagojejunal anastomotic strictures were treated conservatively using metal clips. Closure of the perforation was achieved in both cases, using one and two clips in a single session. There was no procedure-related morbidity and no patient developed complications. Patients were discharged from hospital on days 4 and 5, respectively. In patients with esophagojejunal anastomotic strictures, endoscopic treatment of postdilation perforation by metal clips is safe and effective.
Cipolletta
L
L
Servizio di Gastroenterologia ed Endoscopia Digestiva, Ospedale Maresca, Torre del Greco, Naples, Italy. cipollet@tin.it
Bianco
M A
MA
Rotondano
G
G
Marmo
R
R
Piscopo
R
R
Meucci
C
C
D000368:Aged; D000713:Anastomosis, Roux-en-Y / Q000009:adverse effects; D002404:Catheterization / Q000009:adverse effects*; D004724:Endoscopy; D004939:Esophageal Perforation / Q000209:etiology / Q000601:surgery*; D004940:Esophageal Stenosis / Q000209:etiology / Q000628:therapy; D004946:Esophagostomy / Q000009:adverse effects; D006801:Humans; D007582:Jejunostomy / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D013525:Surgical Instruments