Endoscopy 2014; 46(06): 503-508
DOI: 10.1055/s-0034-1365040
Innovations and brief communications
© Georg Thieme Verlag KG Stuttgart · New York

Endoscopic treatment of delayed colon perforation: the enteroscopy overtube approach

Yu-Feng Xiao*
Department of Gastroenterology, Xinqiao Hospital, Third Military Medical University, Chongqing, China
,
Jan-Ying Bai*
Department of Gastroenterology, Xinqiao Hospital, Third Military Medical University, Chongqing, China
,
Jin Yu
Department of Gastroenterology, Xinqiao Hospital, Third Military Medical University, Chongqing, China
,
Xian-Long Lin
Department of Gastroenterology, Xinqiao Hospital, Third Military Medical University, Chongqing, China
,
Xiao-Yan Zhao
Department of Gastroenterology, Xinqiao Hospital, Third Military Medical University, Chongqing, China
,
Shi-Ming Yang
Department of Gastroenterology, Xinqiao Hospital, Third Military Medical University, Chongqing, China
,
Chao-Qiang Fan
Department of Gastroenterology, Xinqiao Hospital, Third Military Medical University, Chongqing, China
› Author Affiliations
Further Information

Publication History

Publication Date:
28 April 2014 (eFirst)

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.

* These author contributed equally to the study.


Figues e3, e4 and e5