Iatrogenic rectal perforation during operative colonoscopy: closure with endoluminal clips.
The risk of perforation during diagnostic or operative colonoscopy can be as high as 2%. Despite conservative treatment being acceptable, the closure of the perforation is usually mandatory, and surgery (either open or laparoscopic) is commonly advocated as rescue therapy. Currently, with the availability of the Endoclip, endoscopists are able to manage iatrogenic perforations avoiding surgery. Clip placement, if necessary, will not delay surgery and might help the surgeon find the site of perforation. However, data in the literature are scant, especially for the closure of large colonic defects. Endoscopic repair using Endoclip devices for a large high rectal perforation following polypectomy is described herein.
Department of Surgery, Colorectal Surgery, University of Rome Tor Vergata, Policlinico Tor Vergata, Rome, Italy. piersileri@yahoo.com
Pierpaolo
P
Sileri
Giovanna
G
Del Vecchio Blanco
Domenico
D
Benavoli
Achille L
AL
Gaspari
D003113:Colonoscopy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D007416:Intestinal Perforation / Q000209:etiology* / Q000601:surgery*; D008875:Middle Aged; D012007:Rectum / Q000293:injuries*; D013525:Surgical Instruments