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A Case of a Successful Band Ligation of a Colonic Perforation during Diagnostic Colonoscopy  

Lee, Heon-Nam (Department of Internal Medicine, Gil Medical Center, Gachon University of Medicine and Science)
Kim, Eui-Joo (Department of Internal Medicine, Gil Medical Center, Gachon University of Medicine and Science)
Park, Sung-Keun (Department of Internal Medicine, Gil Medical Center, Gachon University of Medicine and Science)
Seo, Mi-Ryoung (Department of Internal Medicine, Gil Medical Center, Gachon University of Medicine and Science)
Lee, Jong-Joon (Department of Internal Medicine, Gil Medical Center, Gachon University of Medicine and Science)
Lee, Young-Jun (Department of Internal Medicine, Gil Medical Center, Gachon University of Medicine and Science)
Oh, Kyong-Yong (Department of Internal Medicine, Gil Medical Center, Gachon University of Medicine and Science)
Park, Dong-Gun (Department of Internal Medicine, Gil Medical Center, Gachon University of Medicine and Science)
Publication Information
Clinical Endoscopy / v.41, no.3, 2010 , pp. 176-179 More about this Journal
Abstract
Colonoscopy is a relatively safe tool for diagnosis and treatment of colorectal disease. But colonic perforation during colonoscopy is a severe complication and sometimes becomes a life-threatening condition. It occurs with a frequency of 0.07% among patients having diagnostic colonoscopy and in up to 0.40% of patients having therapeutic colonoscopy. In these cases, surgical treatment is needed but endoscopic repair and conservative management could reduce the need for immediate operations. Endoscopic clipping has been the principal method for non-operative treatment of iatrogenic colonic perforation, but it has important limitations. One of them is that it is technically difficult to clip when the angle of approach is tangential. Here we report a case of an iatrogenic colonic perforation treated with endoscopic band ligation rather than endoscopic clipping, because of approach difficulties.
Keywords
Colonoscopy; Intestinal perforation;
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Times Cited By KSCI : 1  (Citation Analysis)
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