Endoscopy 2000; 32(9): 720-722
DOI: 10.1055/s-2000-7032
Case Report
Georg Thieme Verlag Stuttgart ·New York

Endoscopic Clipping of Perforation Following Pneumatic Dilation of Esophagojejunal Anastomotic Strictures

L. Cipolletta, M. A. Bianco, G. Rotondano, R. Marmo, R. Piscopo, C. Meucci
  • Servizio di Gastroenterologia ed Endoscopia Digestiva, Ospedale Maresca, Torre del Greco, Naples, Italy
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Publikationsverlauf

Publikationsdatum:
31. Dezember 2000 (online)

Two patients with small perforations occurring after endoscopic balloon dilation of esophagojejunal anastomotic strictures were treated conservatively using metal clips. Closure of the perforation was achieved in both cases, using one and two clips in a single session. There was no procedure-related morbidity and no patient developed complications. Patients were discharged from hospital on days 4 and 5, respectively. In patients with esophagojejunal anastomotic stictures, endoscopic treatment of postdilation perforation by metal clips is safe and effective.

References

  • 1 Kozarek R A. Hydrostatic balloon dilatation of gastrointestinal stenoses: a national survey.  Gastrointest Endosc. 1986;  23 15-19
  • 2 Wewalka F W, Clodi P H, Haidinger D. Endoscopic clipping of esophageal perforation after pneumatic dilation for achalasia.  Endoscopy. 1995;  27 608-611
  • 3 Jones W G, Ginsberg R J. Esophageal perforation: a continuing challenge.  Ann Thorac Surg. 1992;  53 534-543
  • 4 O'Sullivan G C, Ireland A. Esophageal surgery. In: Quigley EMM, Sorrell MF (eds). The gastrointestinal surgical patients. Preoperative and postoperative care.  Baltimore; Williams and Wilkins, 1994: 253-295
  • 5 Pasricha P J, Fleischer D E, Kalloo A N. Endoscopic perforations of the upper digestive tract: a review of their pathogenesis, prevention and management.  Gastroenterology. 1994;  106 787-802
  • 6 Wesdrop I CE, Bartelsman J FWM, Huibregtse K. Treatment of instrumental esophageal perforation.  Gut. 1984;  25 398-404
  • 7 Hayashi T, Yonezawa M, Kawabara T. The study on staunch clip for the treatment by endoscopy.  Gastroenterol Endosc. 1975;  17 92-101
  • 8 Hachisu T. Evaluation of endoscopic hemostasis using an improved clipping apparatus.  Surg Endosc. 1988;  2 13-17
  • 9 Binmoeller K F, Thonke F, Soehendra N. Endoscopic hemoclip treatment for gastrointestinal bleeding.  Endoscopy. 1993;  25 165-170
  • 10 Ohta S, Yukioka T, Ohta S, et al. Hemostasis with endoscopic hemoclipping for severe gastrointestinal bleeding in critically ill patients.  Am J Gastroenterol. 1996;  91 701-704
  • 11 Iida Y, Miura S, Munemoto Y, et al. Endoscopic resection of large colorectal polyps using a clipping method.  Dis Colon Rectum. 1994;  37 179-180
  • 12 Hokama A, Uehara T, Nakayoshi T, et al. Utility of endoscopic hemoclipping for colonic diverticular bleeding.  Am J Gastroenterol. 1997;  92 543-544
  • 13 Cipolletta L, Bianco M A, Rotondano G, et al. Prospective assessment of endoclips vs. heater probe in bleeding duodenal ulcers (Abstract).  Gastrointest Endosc. 1999;  49 (part 2) 436
  • 14 Binmoeller K F, Grimm H, Soehendra N. Endoscopic closure of a perforation using metallic clips after snare excision of a gastric leiomyoma.  Gastrointest Endosc. 1993;  39 172-174
  • 15 Kaneko T, Akamatsu T, Shimodaira K, et al. Nonsurgical treatment of duodenal perforation by endoscopic repair using a clipping device.  Gastrointest Endosc. 1999;  50 410-414
  • 16 Yoshikane H, Hidano H, Sakakibara A, et al. Endoscopic repair by clipping of iatrogenic colonic perforation.  Gastrointest Endosc. 1997;  46 464-466
  • 17 Cipolletta L, Bianco M A, Rotondano G, et al. Endoclip assisted resection of large pedunculated colon polyps.  Gastrointest Endosc. 1999;  50 405-407
  • 18 Ginsberg G G, Lipman T O, Fleischer D E. Endoscopic clip assisted placement of enteral feeding robes.  Gastrointest Endosc. 1994;  40 220-222
  • 19 Rodella L, Laterza E, De Manzoni G, et al. Endoscopic clipping of anastomotic leakages in esophagogastric surgery.  Endoscopy. 1998;  30 453-456
  • 20 American Society for Gastrointestinal Endoscopy. Policy and procedure manual for gastrointestinal endoscopy. Guidelines for training and practice.  Manchester, MA; American Society for Gastrointestinal Endoscopy, 1999: 44-45

L. Cipolletta, M.D.

Via S. Domenico al Vomero 24

80126 Naples

Italy

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