title: Combined use of metallic endoclips and endoloops using a single-channel scope in closing iatrogenic perforations and fistulas: two case reports and a literature review.
abstract: Iatrogenic perforation of the gastrointestinal tract is a rare complication of endoscopic procedures, whereas anastomotic leakage after surgery is not uncommon. Both conditions are associated with gut wall defects leading to significant morbidity and mortality of the patients. We describe two case reports, a colonic perforation and an esophagogastric anastomosis leakage successfully managed endoscopically using the combined technique with endoclips and endoloops. A literature review is performed on similar endoscopic techniques aiming to avoid surgical treatment in these patients.
authors.affiliation: aAcademic Department of Gastroenterology bSecond Department of Propedeutic Surgery, Medical School, Laikon Hospital, Athens University, Athens, Greece.
authors.forename: Spiros D
authors.initials: SD
authors.lastname: Ladas
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Kamberoglou
authors.forename: Jiannis
authors.initials: J
authors.lastname: Vlachogiannakos
authors.forename: Periklis
authors.initials: P
authors.lastname: Tomos
mesh_terms: D000368:Aged; D057868:Anastomotic Leak / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D003108:Colonic Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D003113:Colonoscopy / Q000009:adverse effects / Q000295:instrumentation*; D004867:Equipment Design; D004945:Esophagoscopy / Q000295:instrumentation*; D006801:Humans; D007049:Iatrogenic Disease; D007412:Intestinal Fistula / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D007416:Intestinal Perforation / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D008297:Male; D008670:Metals; D013525:Surgical Instruments; D016896:Treatment Outcome
chemical_list: D008670:Metals