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Intestinal Research 2005;3(2):154-155.
Published online December 30, 2005.
A Case of Successful Endoscopic Clipping in Iatrogenic Rectal Perforation during Colonoscopy
Ji Hyun Song, Ki Nam Shim, Seong Eun Kim, Hyun Joo Song, Hee Jung Oh, Kum Hei Ryu, Hye Jung Yeom, Tae Hun Kim, Hye Kyung Jung, Sung Ae Jung, Kwon Yoo, Il Hwan Moon
Department of Internal Medicine, Ewha Medical Research Institute, Ewha Womans University College of Medicine, Seoul, Korea
진단 대장내시경 중 발생한 직장 천공을 내시경적 클립술로 치료한 1예
송지현, 심기남, 김성은, 송현주, 오희정, 유금혜, 염혜정, 김태헌, 정혜경, 정성애, 유권, 문일환
이화여자대학교 의과대학 내과학교실, 의과학연구소
Abstract
Colonoscopy has become the principal method for diagnosis, treatment, and follow-up of colorectal disease. However, colonoscopy is an invasive procedure with an associated risk of complications. Especially, perforation of the colon and rectum during colonoscopy is a rare but serious complication. The choice of conservative versus surgical treatment for this complication remains controversial. In general, conservative treatment is reserved for patient in good general health with good bowel preparation and absence of signs of peritonitis during 24 to 48 hours following the perforation. Conservative management consists of intestinal rest, intravenous fluids and antibiotics, nasogastric tube decompression, and frequent clinical examination. In case of iatrogenic perforation, if the wound is immediately closed with clips, contamination of the peritoneal cavity can be minimized. We report here a patient who sustained iatrogenic rectal perforation caused by diagnostic colonoscopy that was successfully treated by endoscopic clipping therapy. (Intestinal Research 2005;3:154-156)
Key Words: Colonoscopy, Rectal perforation, Endoscopic clipping
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