Endoscopy 2022; 54(S 01): S81
DOI: 10.1055/s-0042-1744752
Abstracts | ESGE Days 2022
ESGE Days 2022 Oral presentations
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IATROGENIC COLONIC PERFORATION CLOSURE WITH AN OVER-THE-SCOPE CLIP APPLIED WITH GASTROSCOPE FOUR HOURS UPON INDEX COLONOSCOPY: A CASE REPORT

P. Nicolaou
1   Venizeleio General Hospital, Department of Gastroenterology, Heraklion, Greece
,
M. Velegraki
1   Venizeleio General Hospital, Department of Gastroenterology, Heraklion, Greece
,
D. Arna
1   Venizeleio General Hospital, Department of Gastroenterology, Heraklion, Greece
,
A. Psistakis
1   Venizeleio General Hospital, Department of Gastroenterology, Heraklion, Greece
,
E. Bachlitzanakhs
2   Venizeleio General Hospital, Department of Surgery, Heraklion, Greece
,
M. Flamourakis
2   Venizeleio General Hospital, Department of Surgery, Heraklion, Greece
,
G. Paspatis
1   Venizeleio General Hospital, Department of Gastroenterology, Heraklion, Greece
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A 71-year-old female was referred to our unit due to a perforation at the sigmoid colon, endoscopically diagnosed 4 hours earlier during a screening colonoscopy, which was initially treated with conventional clipping. The closure was not considered secure by the endoscopist and the patient was referred to our unit. We decided to proceed with a new colonoscopy. An approximately 1.5 cm defect was identified and its closure was attempted using an OTSC​ mounted on a colonoscope, which was impossible due to pelvic adhesions. The attempt was continued and an OTSC​ was mounted on a gastroscope. The clip was successfully applied.



Publication History

Article published online:
14 April 2022

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