Colonoscopy, Intestinal perforation"/> A Case of a Successful Band Ligation of a Colonic Perforation during Diagnostic Colonoscopy
Korean J Gastrointest Endosc > Volume 41(3); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;41(3): 176-179.
내시경 밴드 결찰술로 치료한 대장천공 1예
이헌남ㆍ김의주ㆍ박성근ㆍ서미령ㆍ이종준ㆍ이영준ㆍ오경용ㆍ박동균
가천의과학대학교 길병원 내과학교실
A Case of a Successful Band Ligation of a Colonic Perforation during Diagnostic Colonoscopy
Heon Nam Lee, M.D., Eui Joo Kim, M.D., Sung Keun Park, M.D., Mi Ryoung Seo, M.D., Jong Joon Lee, M.D., Young Jun Lee, M.D., Kyong Yong Oh, M.D. and Dong Gun Park, M.D.
Department of Internal Medicine, Gil Medical Center, Gachon University of Medicine and Science, Incheon, Korea
Abstract
Colonoscopy is a relatively safe tool for diagnosis and treatment of colorectal disease. But colonic perforation during colonoscopy is a severe complication and sometimes becomes a life-threatening condition. It occurs with a frequency of 0.07% among patients having diagnostic colonoscopy and in up to 0.40% of patients having therapeutic colonoscopy. In these cases, surgical treatment is needed but endoscopic repair and conservative management could reduce the need for immediate operations. Endoscopic clipping has been the principal method for non-operative treatment of iatrogenic colonic perforation, but it has important limitations. One of them is that it is technically difficult to clip when the angle of approach is tangential. Here we report a case of an iatrogenic colonic perforation treated with endoscopic band ligation rather than endoscopic clipping, because of approach difficulties. (Korean J Gastrointest Endosc 2010;41:176-179)
Key Words: Colonoscopy, Intestinal perforation
주요어: 대장내시경, 장 천공
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