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Endoscopic closure of a large iatrogenic rectal perforation using endoloop/clips technique.

TitleEndoscopic closure of a large iatrogenic rectal perforation using endoloop/clips technique.
Publication TypeJournal Article
Year of Publication2009
AuthorsKatsinelos, P., Kountouras J., Chatzimavroudis G., Zavos C., Pilpilidis I., Tzilves D., & Paroutoglou G.
JournalActa Gastroenterol Belg
Volume72
Issue3
Pagination357-9
Date Published2009 Jul-Sep
ISSN0001-5644
KeywordsAged, 80 and over, Colonoscopy, Endoscopy, Gastrointestinal, Humans, Intestinal Perforation, Male, Rectum, Surgical Instruments
Abstract

Retroflexion to evaluate the rectal vault provides significant additional information compared with standard forward view of the rectum. The procedure is easily performed with rare complications and is well tolerated by patients. We describe the first case of a large oval rectal perforation after retroflexion of the colonoscope in a healthy rectum during a follow-up colonoscopy, immediately closed with the endoloop/clips technique. The patient had an uneventful course and was discharged after 5 days. At his 2-month follow-up visit he remained asymptomatic and endoscopy revealed complete healing of the perforation.

Alternate JournalActa Gastroenterol. Belg.
PubMed ID19902872

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