title: Quick, safe and effective repair of EUS-related duodenal perforation using over-the-scope clip system (with video).
abstract: Duodenal perforation is a rare but potentially life-threating complication of bilio-pancreatic endoscopic-ultrasound (EUS) examination. Here we report a case of 90 yeas-old patient underwent to EUS with curvilinear ecoendoscope and complicated by duodenal wall perforation. As reported in our case, Over-the-scope clipping system represents a quick, safe and effective approach in order close the leak and prevent further complication.
authors.affiliation: Gastroenterology and Digestive Endoscopy Unit, NOCSAE Hospital, Baggiovara di Modena, MO, Italy. Electronic address: giuseppegrande1984@gmail.com.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Grande
authors.affiliation: Gastroenterology and Digestive Endoscopy Unit, NOCSAE Hospital, Baggiovara di Modena, MO, Italy.
authors.forename: Mauro
authors.initials: M
authors.lastname: Manno
authors.affiliation: Gastroenterology and Digestive Endoscopy Unit, NOCSAE Hospital, Baggiovara di Modena, MO, Italy.
authors.forename: Nadia
authors.initials: N
authors.lastname: Alberghina
authors.affiliation: Gastroenterology and Digestive Endoscopy Unit, NOCSAE Hospital, Baggiovara di Modena, MO, Italy.
authors.forename: Carmelo
authors.initials: C
authors.lastname: Barbera
authors.affiliation: Gastroenterology and Digestive Endoscopy Unit, NOCSAE Hospital, Baggiovara di Modena, MO, Italy.
authors.forename: Claudio
authors.initials: C
authors.lastname: Zulli
authors.affiliation: Gastroenterology and Digestive Endoscopy Unit, IRCCS Policlinico San Donato, San Donato Milanese, MI, Italy.
authors.forename: Gian Eugenio
authors.initials: GE
authors.lastname: Tontini
authors.affiliation: Gastroenterology and Digestive Endoscopy Unit, NOCSAE Hospital, Baggiovara di Modena, MO, Italy.
authors.forename: Flavia
authors.initials: F
authors.lastname: Pigò
authors.affiliation: Gastroenterology and Digestive Endoscopy Unit, NOCSAE Hospital, Baggiovara di Modena, MO, Italy.
authors.forename: Rita
authors.initials: R
authors.lastname: Conigliaro
mesh_terms: D000369:Aged, 80 and over; D002763:Cholecystectomy; D004386:Duodenum / Q000293:injuries*; D019160:Endosonography / Q000009:adverse effects*; D004867:Equipment Design; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy*; D013525:Surgical Instruments / Q000706:statistics & numerical data*; D014057:Tomography, X-Ray Computed; D014945:Wound Healing
keywords: EUS complication; GI wall leak; Iatrogenic duodenal perforation; OTSC; Over-the-scope clip