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Endoscopy 2015; 47(08): 735-738
DOI: 10.1055/s-0034-1392043
Innovations and brief communications
© Georg Thieme Verlag KG Stuttgart · New York

Single-channel endoscopic closure of large endoscopy-related perforations

Chun-Yan Zeng
Department of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang, China
,
Guo-Hua Li
Department of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang, China
,
Yin Zhu
Department of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang, China
,
Xiao-Jiang Zhou
Department of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang, China
,
Nong-Hua Lv
Department of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang, China
,
You-Xiang Chen
Department of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang, China
› Author Affiliations
Further Information

Publication History

submitted 17 October 2014

accepted after revision 02 March 2015

Publication Date:
11 May 2015 (online)

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Background and study aims: Gastrointestinal endoscopy procedures, such as endoscopic retrograde cholangiopancreatography (ERCP), endoscopic submucosal dissection (ESD), and colonoscopy are widely used for the diagnosis or treatment of digestive diseases. Perforation is a rare but potentially lethal complication. Large perforations usually require immediate endoscopic or surgical repair. Endoscopic closure using a nylon loop pouch suture is usually performed with a double-channel endoscope. This paper describes the endoscopic closure of large procedure-related perforations using a single-channel endoscope.

Patients and methods: A total of 10 patients with large perforations (2.5 – 4.0 cm), which occurred during ERCP, ESD, or colonoscopy, were treated using the single-channel endoscope technique.

Results: All perforations were successfully closed using a nylon loop pouch suture through the single-channel endoscope. No surgery or further endoscopic intervention was required.

Conclusions: Nylon loop pouch suture through a single-channel endoscope was easy to perform and was feasible for the closure of large gastrointestinal perforations.

 

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