Korean J Gastrointest Endosc > Volume 29(4); 2004 > Article
Korean Journal of Gastrointestinal Endoscopy 2004;29(4): 213-216.
대장내시경검사 중 발생한 대장천공에 있어 내시경적 치료로 호전된 1예
이재규·조진웅·김바울·이지은·이진규·임성민·서인석·김양호·이용웅
전주예수병원 내과
A Case of Successful Endoscopic Therapy in Iatrogenic Perforation of the Colon during Colonoscopy
Jai Gyu Lee, M.D., Jin Woong Cho, M.D., Paul Kim, M.D., Ji Eun Lee, M.D., Jin Gyu Lee, Sung Min Lim, M.D., In Seok Seo, M.D., Yang Ho Kim, M.D. and Yong Ung Lee, M.D. M.D.,
Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea
Abstract
Colonoscopy is a safe and standard procedure for diagnosis and therapy of colonic disorders. Iatrogenic colonic perforation during diagnostic colonoscopy, a rare abdominal emergency, has an 0.3∼0.8% incidence rate. The choice of treatment for this complication remains controversial. Prompt operative intervention is preferred to minimize morbidity and mortality. However, operative intervention is invasive and needs a long-term recovery period. Conservative treatment is less invasive but can lead to more extensive surgery in case of treatment failure. Very important point on the treatment of iatrogenic perforation of the colon during diagnostic colonoscopy is to avoid the leaking of intestinal contents into the intraperitoneal cavity. We report here a case in which an iatrogenic perforation of the colon during diagnostic colonoscopy was successfully treated by endoscopic clip therapy. (Korean J Gastrointest Endosc 2004;29:213⁣216)
Key Words: Colonoscopy, Colon perforation, Clip
주요어: 대장내시경, 대장 천공, 클립
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