Sileri Pierpaolo, Del Vecchio Blanco Giovanna, Benavoli Domenico, Gaspari Achille L
Department of Surgery, Colorectal Surgery, University of Rome Tor Vergata, Policlinico Tor Vergata, Rome, Italy.
JSLS. 2009 Jan-Mar;13(1):69-72.
The risk of perforation during diagnostic or operative colonoscopy can be as high as 2%. Despite conservative treatment being acceptable, the closure of the perforation is usually mandatory, and surgery (either open or laparoscopic) is commonly advocated as rescue therapy. Currently, with the availability of the Endoclip, endoscopists are able to manage iatrogenic perforations avoiding surgery. Clip placement, if necessary, will not delay surgery and might help the surgeon find the site of perforation. However, data in the literature are scant, especially for the closure of large colonic defects. Endoscopic repair using Endoclip devices for a large high rectal perforation following polypectomy is described herein.
诊断性或手术性结肠镜检查期间发生穿孔的风险可能高达2%。尽管保守治疗是可以接受的，但通常必须对穿孔进行闭合，手术（开放手术或腹腔镜手术）通常被提倡作为挽救治疗方法。目前，有了内镜夹，内镜医师能够处理医源性穿孔而避免手术。如有必要，放置夹子不会延迟手术，还可能有助于外科医生找到穿孔部位。然而，文献中的数据很少，尤其是关于大肠缺损闭合的数据。本文描述了使用内镜夹装置对息肉切除术后高位直肠大穿孔进行内镜修复的情况。
