Rescue endoscopic band ligation of iatrogenic gastric perforations following failed endoclip closure

被引：23

作者：

Han, Joung-Ho ^{[1
]}

Lee, Tae Hoon ^{[2
]}

Jung, Yunho ^{[2
]}

Lee, Suck-Ho ^{[2
]}

Kim, Hyun ^{[1
]}

Han, Hye-Suk ^{[1
]}

Chae, Heebok ^{[1
]}

Park, Seon Mee ^{[1
]}

Youn, Seijin ^{[1
]}

机构：

[1] Chungbuk Natl Univ, Dept Internal Med, Div Gastroenterol, Coll Med, Cheongju 361711, South Korea

[2] Soon Chun Hyang Univ, Dept Internal Med, Div Gastroenterol, Coll Med,Cheonan Hosp, Cheonan Si 330721, Cheonan, South Korea

来源：

WORLD JOURNAL OF GASTROENTEROLOGY | 2013年 / 19卷 / 06期

关键词：

Gastric perforation; Endoscopy; Band ligation; INDUCED DUODENAL PERFORATION; COLONOSCOPIC PERFORATIONS; REPAIR; MANAGEMENT; SPHINCTEROTOMY; HEMOCLIP; LESION; CLIPS;

D O I：

10.3748/wjg.v19.i6.955

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Iatrogenic gastric perforation is one of the most serious complications during therapeutic endoscopy, despite significant advances in endoscopic techniques and devices. This case study evaluated the clinical efficacy and safety of the rescue endoscopic band ligation (EBL) technique in iatrogenic gastric wall perforation following the failure of primary endoclip closure. Five patients were enrolled in this study. These patients underwent emergency endoscopy following the onset of acute gastric wall perforation during endoscopic procedures. The outcome measurements were primary technical success and immediate or delayed procedure-related complications. Successful endoscopic closure using band ligation was reported in all patients, with no complication occurring. We conclude that EBL may be a feasible and safe alternate technique for the management of acute gastric perforation, especially in cases where closure is difficult with endoclips. (C) 2013 Baishideng. All rights reserved.

引用

页码：955 / 959

页数：5

共 17 条

[1] Hypertonic saline-epinephrine injection plus endoscopic band ligation therapy for gastric Dieulafoy's lesion [J].