title: Endoscopic repair of duodenal perforation with over-the-scope clipping system and endoclips: a case report.
abstract: Herein, we present an endoscopic repair of iatrogenic duodenal perforation by over-the-scope clipping system (OTSC) and endoclips in an 84-year-old woman that occurred during linear endosonography (EUS) examination. One OTSC and 8 clips were used for repairing the perforation hole. After 3 days in the intensive care unit (ICU) by chest tube and without oral feeding, she was discharged from the hospital at 6. admission day, and she also had an acute coronary attack during 4. hospital day. OTSC and clipping devices are very useful for repair of iatrogenic perforations, especially in older patients who have comorbid diseases and who can not tolerate the surgery.
authors.affiliation: Department of Gastroenterolgy, Bezmialem Vakif University Faculty of Medicine, İstanbul, Turkey.
authors.forename: Ali Tüzün
authors.initials: AT
authors.lastname: Ince
authors.forename: Orhan
authors.initials: O
authors.lastname: Kocaman
authors.forename: Kemal
authors.initials: K
authors.lastname: Yıldız
authors.forename: Birol
authors.initials: B
authors.lastname: Baysal
authors.forename: Mukaddes
authors.initials: M
authors.lastname: Tozlu
authors.forename: Umit
authors.initials: U
authors.lastname: Akyüz
authors.forename: Ahmet
authors.initials: A
authors.lastname: Danalıoğlu
authors.forename: Hakan
authors.initials: H
authors.lastname: Şentürk
mesh_terms: D000369:Aged, 80 and over; D004724:Endoscopy / Q000295:instrumentation*; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D007416:Intestinal Perforation / Q000209:etiology / Q000473:pathology / Q000601:surgery*