Endoscopic treatment of gastric perforation caused by acute necrotizing pancreatitis using over-the-scope clips: a case report.
Gastric perforation is a rare complication after acute necrotizing pancreatitis. We describe endoscopic closure of a gastric perforation that appeared 4 days after surgical necrosectomy including splenectomy due to necrotizing pancreatitis, using the over-the-scope clip (OTSC) system (Ovesco Endoscopy GmbH, Tübingen, Germany). The clips, which are made of nitinol, are loaded onto an application cap which is mounted on the distal tip of the endoscope. The lesion was closed with two clips and the patient recovered well without reinterventions. The lesions showed normal healing on follow-up.
Kirschniak
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A
Clinic for General, Visceral and Transplantation Surgery, University Hospital of Tübingen, Germany. akirschniak@aol.com
Traub
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F
Kueper
M A
MA
Stüker
D
D
Königsrainer
A
A
Kratt
T
T
D000328:Adult; D004724:Endoscopy / Q000379:methods; D005500:Follow-Up Studies; D020699:Gastroscopes; D005773:Gastroscopy / Q000379:methods*; D006801:Humans; D008297:Male; D010180:Pancreatectomy / Q000009:adverse effects / Q000379:methods; D019283:Pancreatitis, Acute Necrotizing / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery; D018570:Risk Assessment; D013156:Splenectomy / Q000009:adverse effects / Q000379:methods; D013275:Stomach Rupture / Q000209:etiology / Q000601:surgery*; D013525:Surgical Instruments; D016896:Treatment Outcome