Korean Journal of Gastrointestinal Endoscopy 2009;38(6): 348-351.
내시경적 클립술로 치료한 대장천공 1예
김순애ㆍ김재학ㆍ이진호ㆍ양창헌
동국대학교 의과대학 내과학교실
A Case of Successful Clipping of a Colonic Perforation during Diagnostic Colonoscopy
Soon Ae Kim, M.D., Jae Hak Kim, M.D., Jin Ho Lee, M.D. and Chang Heon Yang, M.D.
Department of Internal Medicine, Dongguk University College of Medicine, Goyang, Korea
Abstract
The use of colonoscopy is important to prevent colon cancer. Despite the safety of the colonoscopy procedure, the most common complication of a colonoscopy is perforation, which occurs with a rate of approximately 0.3% during diagnostic colonoscopy and occurs with a rate of approximately 1.1% with the use of therapeutic colonoscopy. Surgery is the treatment of choice for most cases of colonic perforation. With the development of endoscopic devices and techniques, conservative treatment of colonic perforation has been reported by the use of endoscopic clipping. We report here a patient with iatrogenic perforation of the sigmoid colon that was caused by diagnostic colonoscopy. The perforation presented as pneumoretroperitoneum, which was successfully treated with endoscopic clipping. (Korean J Gastrointest Endosc 2009;38:348-351)
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