Korean J Gastrointest Endosc > Volume 30(3); 2005 > Article
Korean Journal of Gastrointestinal Endoscopy 2005;30(3): 168-172.
용종제거술 중 발생한 대장 천공의 내시경적 클립술 치료 1예
이희정·이태희·김선문·임의혁·허규찬·최용우·강영우
건양대학교 의과대학 내과학교실
A Case of Iatrogenic Colonic Perforation Repaired by Endoscopic Clipping
Hee Jung Lee, M.D., Tae Hee Lee, M.D., Sun Moon Kim, M.D., Euyi Hyeog Im, M.D., Kyu Chan Huh, M.D., Young Woo Choi, M.D. and Young Woo Kang, M.D.
Department of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea
Abstract
As colonoscopy is widely used as a diagnostic tool in Korea, it produces many complications such as colonic bleeding and perforation. These are considered to be an usual event, not as a concept of complication. Therefore, the adverse events are given the term of incidental events, not as the complications in the recent days. Medical treatment may be offered as an alternative to surgical method for immediate management of these complications. Colonic perforation usually results in fatal and emergent condition requiring surgical intervention. Others described the application of endoclip as a therapeutic endoscopic maneuver twenty years ago, and in 1997, Yoshikane et al. used clips to close a colonic perforation after performing the endoscopic mucosal resection of an early cancer. Since then, endoscopic repairs of iatrogenic perforation have frequently been used in many cases. We report a 69 year-old man who was successfully treated by endoscopic clipping of iatrogenic colonic perforation site during polypectomy without complications. (Korean J Gastrointest Endosc 2005;30:168⁣172)
Key Words: Endoscopic clipping, Colonic perforation
주요어: 내시경적 클립술, 대장천공
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