Endoscopic repair of rectal perforation due to colonoscopy with a clamp method
Osman Köneş1, Cevher Akarsu1, Tarık Acar2, Halil Alış1
1Clinic of General Surgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey
2Department of Emergency Service, Ordu University Ministry Health Training and Research Hospital, Ordu, Turkey
Keywords: Colonoscopy, clamp, perforation
Colon perforation during colonoscopy is a rare complication and usually requires surgical intervention. Traditionally, primary repair, by laparoscopy, laparotomy, resection, and anastomosis would be performed for such perforations. More recently developed minimally invasive endoscopic instruments have also been used in the repair of such perforations; this is becoming increasingly common. An endoscopic over-the-scope clip (OTSC) clamp was used in a 59-year-old male patient who suffered a rectum perforation in connection with a diagnostic colonoscopy. He was referred to our clinic. A colonoscopy was performed in our clinic to assess the rectal perforation caused by a diagnostic colonoscopy 2 h after the initial colonoscopy, with the concurrent therapeutic purpose of repairing the perforation using an endoscopic clamping method. Oral feeding was started 24 h after the procedure. After 3 days, the patient was discharged. An endoscopic clamping method in appropriate cases can be a safe and appropriate alternative therapy in the management of colonoscopic perforations.
Cite this paper as: Köneş O, Akarsu C, Acar T, Alış H. Endoscopic repair of rectal perforation due to colonoscopy with a clamp method. Turk J Surg 2018; 34: 80-82.
Written informed consent was obtained from patient who participated in this study.
Concept - C.A, O.K.; Design - HA,C.A.; Supervision- H.A, O.K.; Resource - C.A., T.A; Materials - O.K, C.A, T.A, H.A.; Data Collection and/or Processing - C.A, T.A.; Analysis and/or Interpretation - O.K., C.A., H.A.; Literature Search - T.A; Writing Manuscript - O.K, C.A., T.A.; Critical Reviews - H.A
No conflict of interest was declared by the authors.
The authors declared that this study has received no financial support.