[Endoscopic clipping of a gastric perforation after GIST resection].
BACKGROUND
The application of endoscopic clips in the therapy of bowel or stomach perforations has been reported in few cases only.


METHODS
In a 43-year-old woman, endoscopic resection of a submucosal gastric tumor sized 1.2 cm, histologically proven to be a gastrointestinal stromal tumor (GIST), was complicated by bleeding and a small perforation. In the emergency endoscopy not only the bleeding but also the perforation could be treated successfully using hemoclips. The clinical course remained free from further complications.


CONCLUSIONS
This case, as well as previously reported cases, demonstrates that the endoscopic hemoclip technique seems to be suitable for the treatment of some small gastric perforations.
Gleichmann
Daniel
D
Abteilung für Allgemeine Innere Medizin und Gastroenterologie, Herz-Jesu-Krankenhaus, Fulda. gleichmdan@aol.com
Stienecker
Klaus
K
Glaser
Joachim
J
D000328:Adult; D004724:Endoscopy / Q000379:methods*; D016145:Endoscopy, Digestive System; D019160:Endosonography; D005260:Female; D005500:Follow-Up Studies; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D016558:Hemostasis, Endoscopic / Q000295:instrumentation; D006801:Humans; D007049:Iatrogenic Disease; D007431:Intraoperative Complications; D011860:Radiography, Abdominal; D013270:Stomach / Q000293:injuries* / Q000601:surgery*; D013274:Stomach Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D013997:Time Factors
Endoskopische Clip-Therapie einer Magenperforation nach GIST-Abtragung.