title: Rescue endoscopic band ligation of iatrogenic gastric perforations following failed endoclip closure.
abstract: Iatrogenic gastric perforation is one of the most serious complications during therapeutic endoscopy, despite significant advances in endoscopic techniques and devices. This case study evaluated the clinical efficacy and safety of the rescue endoscopic band ligation (EBL) technique in iatrogenic gastric wall perforation following the failure of primary endoclip closure. Five patients were enrolled in this study. These patients underwent emergency endoscopy following the onset of acute gastric wall perforation during endoscopic procedures. The outcome measurements were primary technical success and immediate or delayed procedure-related complications. Successful endoscopic closure using band ligation was reported in all patients, with no complication occurring. We conclude that EBL may be a feasible and safe alternate technique for the management of acute gastric perforation, especially in cases where closure is difficult with endoclips.
authors: Division of Gastroenterology, Department of Internal medicine, Chungbuk National University College of Medicine, Cheongju 361-711, South Korea.
authors: Joung-Ho
authors: JH
authors: Han
authors: Tae Hoon
authors: TH
authors: Lee
authors: Yunho
authors: Y
authors: Jung
authors: Suck-Ho
authors: SH
authors: Lee
authors: Hyun
authors: H
authors: Kim
authors: Hye-Suk
authors: HS
authors: Han
authors: Heebok
authors: H
authors: Chae
authors: Seon Mee
authors: SM
authors: Park
authors: Seijin
authors: S
authors: Youn
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004724:Endoscopy / Q000009:adverse effects*; D004867:Equipment Design; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D016558:Hemostasis, Endoscopic / Q000295:instrumentation*; D006801:Humans; D007049:Iatrogenic Disease; D008026:Ligation; D008297:Male; D008875:Middle Aged; D013270:Stomach / Q000293:injuries*; D013525:Surgical Instruments; D017211:Treatment Failure
keywords: Band ligation; Endoscopy; Gastric perforation