title: Endoclipping for gastric perforation after endoscopic polypectomy: an alternative treatment to avoid surgery.
abstract: A 47-year-old woman underwent endoscopic polypectomy of a villous adenoma in the lesser curvature of the gastric antrum. Shortly after the procedure, she complained of severe abdominal pain. An abdominal x-ray showed air under the diaphragm, suggestive of gastric perforation. On re-endoscopy, the cavity at the site of polypectomy was closed using endoscopically applied metallic clips. She was treated with intravenous hyperalimentation, omeprazole, and antibiotics for 10 days. Ingestion of food was started 10 days after admission, and she was discharged without any complaints. She is free of symptoms on follow-up after 8 months, and endoscopy showed complete healing of the perforation. The procedure is the third described for the stomach in the English literature and emphasizes the use of endoclipping in selected cases of small and well-defined perforations.
authors.affiliation: Department of Endoscopy and Motility Unit, Central Hospital, Thessaloniki, Greece. pantso@the.forthnet.gr
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Katsinelos
authors.forename: Athanasios
authors.initials: A
authors.lastname: Beltsis
authors.forename: George
authors.initials: G
authors.lastname: Paroutoglou
authors.forename: Ioannis
authors.initials: I
authors.lastname: Galanis
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Tsolkas
authors.forename: Kostas
authors.initials: K
authors.lastname: Mimidis
authors.forename: Ioannis
authors.initials: I
authors.lastname: Pilpilidis
authors.forename: Stefanos
authors.initials: S
authors.lastname: Baltagiannis
authors.forename: Eustathios
authors.initials: E
authors.lastname: Kamberis
authors.forename: Basilis
authors.initials: B
authors.lastname: Papaziogas
mesh_terms: D018253:Adenoma, Villous / Q000601:surgery*; D004724:Endoscopy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011127:Polyps / Q000601:surgery; D012086:Reoperation; D013274:Stomach Neoplasms / Q000601:surgery*; D013275:Stomach Rupture / Q000209:etiology / Q000601:surgery*; D013525:Surgical Instruments; D017792:Surgical Stapling / Q000295:instrumentation*; D016896:Treatment Outcome