Katsinelos Panagiotis, Paroutoglou George, Papaziogas Basilios, Beltsis Athanasios, Dimiropoulos Stavros, Atmatzidis Konstantinos
Department of Endoscopy and Motility Unit, "G.Gennimatas" Hospital, Ethnikis Aminis 41, 54635 Thessaloniki, Greece.
World J Gastroenterol. 2005 Oct 21;11(39):6232-4. doi: 10.3748/wjg.v11.i39.6232.
Perforation is one of the most serious complications of endoscopic sphincterotomy (ES) necessitating immediate surgical intervention. We present a case of successful management of such a complication with endoclipping. A 85-year-old woman developed duodenal perforation after ES. The perforation was identified early and its closure was achieved using three metallic clips in a single session. There was no procedure-related morbidity or complications and our patient was discharged from hospital 10 d later. Endoclipping of duodenal perforation induced by ES is a safe, effective and alternative to surgery treatment.
穿孔是内镜括约肌切开术（ES）最严重的并发症之一，需要立即进行手术干预。我们报告一例通过内镜夹闭成功处理该并发症的病例。一名85岁女性在ES术后发生十二指肠穿孔。穿孔被早期发现，并在一次操作中使用三个金属夹实现了闭合。没有与手术相关的发病率或并发症，我们的患者在10天后出院。ES引起的十二指肠穿孔的内镜夹闭是一种安全、有效的手术替代治疗方法。
