Zipper repair of 3 cm iatrogenic colonic perforation with dual‐channel endoscope and twin grasper‐assisted titanium clip

Author:

Yang Wei1ORCID,Wen Wei2,Ren Xiaoli3,Zhai Qi3,Li Shupei4,Xuan Ji5

Affiliation:

1. Department of Gastroenterology Jinling Clinical Medical College Nanjing Medical University Nanjing China

2. Department of Gastroenterology The Second Affiliated Hospital of Nanjing University of Chinese Medicine Nanjing China

3. Department of Gastroenterology Jinling Hospital Affiliated to Nanjing University Nanjing China

4. Department of Gastroenterology Jinling Clinical Medical College Nanjing University of Chinese Medicine Nanjing China

5. Department of Gastroenterology Jinling Hospital Affiliated Hospital of Medical School Nanjing University Nanjing China

Abstract

AbstractA 53‐year‐old man undergoing painless colonoscopy for long‐term diarrhea. After colonoscopy withdrawing to the sigmoid colon, a local perforation was found, about 3 cm in size, oval in shape. We used a two‐channel endoscope and grip to pull the edges of the intestinal wall on both sides of the perforation site to close together, and then repair the 3 cm oval perforation of the colon through multiple ordinary titanium clips. The patient had no obvious infection after surgery and recovered well after 1 month of follow‐up. Preliminary experience has shown that using multiple titanium clips under dual‐channel endoscope to zipper suture can effectively repair 3 cm iatrogenic colonic perforations.

Publisher

Wiley

Subject

Organic Chemistry,Biochemistry

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