Korean Journal of Gastrointestinal Endoscopy 2001;23(4): 240-244.
내시경적 대장용종절제 후 지연발견된 천공을 내시경적 치료로 호전된 1 예 ( A Case of Successful Endoscopic Therapy in Delayed Diagnosed Perforation after Endoscopic Colon Polypectomy )
박현준(Hyun Jun Park),은수훈(Soo Hoon Eun),정현구(Hyun Ku Jung),박형근(Hyung Geun Park),천갑진(Gab Jin Cheon),김진오(Jin Oh Kim),조주영(Joo Young Cho),이준성(Jin Seong Lee),이문성(Moon Sung Lee),심찬섭(Chan Sup Shim)
Abstract
With the wide use of colonoscopy and develoment of technology, colon tumors and colon polyps are being found frequently and for the treatment of colon polyp, endoscopic polypectomy is used at present. The most common complications of endoscopic colon polypectomy are hemorrhage and perforation. Colon perforation is an abdominal emergency with high mortality. When colon perforation happens, surgical resection was being used at past. But when colon perforations are resulted from therapeutic colonoscopy, devoid of down stream obstacles with a perfectly prepared colon, and the patient's general condition is satisfactory, colon porforation is successfully treated by conservative measures. But, in delayed diagnosed perforation endoscopic treatment is controversial yet. We report here a case which sustained iatrogenic delayed diagnosed perforation of the sigmoid colon caused by polypectomy that was successfully treated by endoscopic clip therapy. (Korean J Gastrointest Endosc 2001;23:240-244)