title: Endoclip closure of jejunal perforation after balloon dilatation.
abstract: Endoscopy is commonly used in patients undergoing Roux-en-Y gastric bypass (RYGBP) for diagnosis and intervention. Stomal stricture at the gastrojejunostomy occurs in approximately 3% to 17% of patients after laparoscopic RYGBP. The incidence of iatrogenic perforation during stomal balloon dilatation is reported to be 3% to 12% among these patients. Surgery has typically been required for iatrogenic perforation. With the availability of the endoclip, endoscopists are able to manage iatrogenic perforation non-operatively. We report a patient who had jejunal perforation during balloon dilatation after RYBGP, who was successfully closed with endoclip applications and managed non-operatively.
authors.affiliation: Division of Digestive Diseases, Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX 75390-8887, USA. shou-jiang.tang@utsouthwestern.edu
authors.forename: Shou-Jiang
authors.initials: SJ
authors.lastname: Tang
authors.forename: Linda
authors.initials: L
authors.lastname: Tang
authors.forename: Samir
authors.initials: S
authors.lastname: Gupta
authors.forename: Homero
authors.initials: H
authors.lastname: Rivas
mesh_terms: D002404:Catheterization / Q000009:adverse effects*; D003251:Constriction, Pathologic / Q000209:etiology / Q000628:therapy; D015390:Gastric Bypass / Q000009:adverse effects*; D005773:Gastroscopy; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology / Q000601:surgery*; D007583:Jejunum / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D013525:Surgical Instruments; D054047:Surgical Stomas