title: Treatment of a duodenal perforation secondary to an endoscopic sphincterotomy with clips.
abstract: Perforation is one of the most serious complications of endoscopic sphincterotomy (ES) necessitating immediate surgical intervention. We present a case of successful management of such a complication with endoclipping. A 85-year-old woman developed duodenal perforation after ES. The perforation was identified early and its closure was achieved using three metallic clips in a single session. There was no procedure-related morbidity or complications and our patient was discharged from hospital 10 d later. Endoclipping of duodenal perforation induced by ES is a safe, effective and alternative to surgery treatment.
authors.affiliation: Department of Endoscopy and Motility Unit, "G.Gennimatas" Hospital, Ethnikis Aminis 41, 54635 Thessaloniki, Greece. pantso@the.forthnet.gr
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Katsinelos
authors.forename: George
authors.initials: G
authors.lastname: Paroutoglou
authors.forename: Basilios
authors.initials: B
authors.lastname: Papaziogas
authors.forename: Athanasios
authors.initials: A
authors.lastname: Beltsis
authors.forename: Stavros
authors.initials: S
authors.lastname: Dimiropoulos
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Atmatzidis
mesh_terms: D000369:Aged, 80 and over; D004386:Duodenum / Q000293:injuries*; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology* / Q000601:surgery*; D016717:Sphincterotomy, Endoscopic / Q000009:adverse effects*; D013525:Surgical Instruments