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Zipper repair of 3 cm iatrogenic colonic perforation with dual‐channel endoscope and twin grasper‐assisted titanium clip

A 53‐year‐old man undergoing painless colonoscopy for long‐term diarrhea. After colonoscopy withdrawing to the sigmoid colon, a local perforation was found, about 3 cm in size, oval in shape. We used a two‐channel endoscope and grip to pull the edges of the intestinal wall on both sides of the perfo...

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Detalles Bibliográficos
Autores principales: Yang, Wei, Wen, Wei, Ren, Xiaoli, Zhai, Qi, Li, Shupei, Xuan, Ji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10361542/
https://www.ncbi.nlm.nih.gov/pubmed/37483878
http://dx.doi.org/10.1002/deo2.276
Descripción
Sumario:A 53‐year‐old man undergoing painless colonoscopy for long‐term diarrhea. After colonoscopy withdrawing to the sigmoid colon, a local perforation was found, about 3 cm in size, oval in shape. We used a two‐channel endoscope and grip to pull the edges of the intestinal wall on both sides of the perforation site to close together, and then repair the 3 cm oval perforation of the colon through multiple ordinary titanium clips. The patient had no obvious infection after surgery and recovered well after 1 month of follow‐up. Preliminary experience has shown that using multiple titanium clips under dual‐channel endoscope to zipper suture can effectively repair 3 cm iatrogenic colonic perforations.