Iatrogenic Duodenal Perforation Treated with Endoscopic Placement of Metallic Clips: A Case Report
Perforation is one of the major complications encountered during endoscopic procedures. The standard of care for these complications is either surgical intervention or nonoperative medical approach with antibiotics and bowel rest with or without parenteral alimentation. Metallic clips, initially dev...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2012/609750 |
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| _version_ | 1850215180918587392 |
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| author | Missale Solomon Alexander Schlachterman Ricardo Morgenstern |
| author_facet | Missale Solomon Alexander Schlachterman Ricardo Morgenstern |
| author_sort | Missale Solomon |
| collection | DOAJ |
| description | Perforation is one of the major complications encountered during endoscopic procedures. The standard of care for these complications is either surgical intervention or nonoperative medical approach with antibiotics and bowel rest with or without parenteral alimentation. Metallic clips, initially developed to secure hemostasis in bleeding, have been successfully used to close perforations in the gastrointestinal tract (GI) including the duodenum. This avoids perioperative morbidities associated with surgical intervention while limiting the leakage of intestinal contents and peritoneal contamination that is possible with medical management. We present a case of a patient with a lateral duodenal perforation during an endoscopic retrograde cholangiopancreatography (ERCP) which was successfully treated with immediate placement of metallic endoclips. |
| format | Article |
| id | doaj-art-84d33fd3e12440e6b3146cfafb1aba61 |
| institution | OA Journals |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-84d33fd3e12440e6b3146cfafb1aba612025-08-20T02:08:42ZengWileyCase Reports in Medicine1687-96271687-96352012-01-01201210.1155/2012/609750609750Iatrogenic Duodenal Perforation Treated with Endoscopic Placement of Metallic Clips: A Case ReportMissale Solomon0Alexander Schlachterman1Ricardo Morgenstern2Department of Gastroenterology, Drexel University College of Medicine, Philadelphia, PA 19107, USADepartment of Gastroenterology, Drexel University College of Medicine, Philadelphia, PA 19107, USADepartment of Gastroenterology, Drexel University College of Medicine, Philadelphia, PA 19107, USAPerforation is one of the major complications encountered during endoscopic procedures. The standard of care for these complications is either surgical intervention or nonoperative medical approach with antibiotics and bowel rest with or without parenteral alimentation. Metallic clips, initially developed to secure hemostasis in bleeding, have been successfully used to close perforations in the gastrointestinal tract (GI) including the duodenum. This avoids perioperative morbidities associated with surgical intervention while limiting the leakage of intestinal contents and peritoneal contamination that is possible with medical management. We present a case of a patient with a lateral duodenal perforation during an endoscopic retrograde cholangiopancreatography (ERCP) which was successfully treated with immediate placement of metallic endoclips.http://dx.doi.org/10.1155/2012/609750 |
| spellingShingle | Missale Solomon Alexander Schlachterman Ricardo Morgenstern Iatrogenic Duodenal Perforation Treated with Endoscopic Placement of Metallic Clips: A Case Report Case Reports in Medicine |
| title | Iatrogenic Duodenal Perforation Treated with Endoscopic Placement of Metallic Clips: A Case Report |
| title_full | Iatrogenic Duodenal Perforation Treated with Endoscopic Placement of Metallic Clips: A Case Report |
| title_fullStr | Iatrogenic Duodenal Perforation Treated with Endoscopic Placement of Metallic Clips: A Case Report |
| title_full_unstemmed | Iatrogenic Duodenal Perforation Treated with Endoscopic Placement of Metallic Clips: A Case Report |
| title_short | Iatrogenic Duodenal Perforation Treated with Endoscopic Placement of Metallic Clips: A Case Report |
| title_sort | iatrogenic duodenal perforation treated with endoscopic placement of metallic clips a case report |
| url | http://dx.doi.org/10.1155/2012/609750 |
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