Literature DB >> 24777425

Endoscopic treatment of delayed colon perforation: the enteroscopy overtube approach.

Yu-Feng Xiao1, Jan-Ying Bai1, Jin Yu1, Xian-Long Lin1, Xiao-Yan Zhao1, Shi-Ming Yang1, Chao-Qiang Fan1.   

Abstract

BACKGROUND AND STUDY AIMS: Delayed perforation is a rare complication of therapeutic colonoscopy, and it is severe and sometimes lethal. This paper reports on a new minimally invasive method for the treatment of delayed colonic perforation. PATIENTS AND METHODS: Three patients with delayed colonic perforation underwent the therapy, which involved three steps: (1) closure with endoclips and loop, (2) overtube placement, and (3) antibiotic wash through a nasobiliary tube.
RESULTS: The procedure was successful in all three patients and no recurrence was observed during 5 - 41 months of follow-up.
CONCLUSIONS: Although this study involved only a small number of patients and no control arm, the method involving an overtube appears to be a feasible and effective endoscopic treatment for delayed colonic perforation. © Georg Thieme Verlag KG Stuttgart · New York.

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Year:  2014        PMID: 24777425     DOI: 10.1055/s-0034-1365040

Source DB:  PubMed          Journal:  Endoscopy        ISSN: 0013-726X            Impact factor:   10.093


  3 in total

Review 1.  Coagulation syndrome: Delayed perforation after colorectal endoscopic treatments.

Authors:  Kingo Hirasawa; Chiko Sato; Makomo Makazu; Hiroaki Kaneko; Ryosuke Kobayashi; Atsushi Kokawa; Shin Maeda
Journal:  World J Gastrointest Endosc       Date:  2015-09-10

2.  Pneumothorax, pneumomediastinum, pneumoperitoneum and extensive subcutaneous emphysema resulting from endoscopic mucosal resection secondary to colonoscopy: A case report.

Authors:  Jun Yang; Wei Qing Liu; Jian Dong; Zheng Qi Wen; Zhu Zhu; Wen Liang Li
Journal:  Oncol Lett       Date:  2016-03-02       Impact factor: 2.967

3.  Unexpected Delayed Colon Perforation after the Endoscopic Submucosal Dissection with Snaring of a Laterally Spreading Tumor.

Authors:  Young Bo Ko; Jeong-Mi Lee; Wan Soo Kim; Min Seob Kwak; Ji Wan Lee; Dong Yeol Shin; Dong-Hoon Yang; Jeong-Sik Byeon
Journal:  Clin Endosc       Date:  2015-11-30
  3 in total

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