Ince Ali Tüzün, Kocaman Orhan, Yıldız Kemal, Baysal Birol, Tozlu Mukaddes, Akyüz Umit, Danalıoğlu Ahmet, Şentürk Hakan
Department of Gastroenterolgy, Bezmialem Vakif University Faculty of Medicine, İstanbul, Turkey.
Turk J Gastroenterol. 2014 Feb;25(1):103-5. doi: 10.5152/tjg.2014.4314.
Herein, we present an endoscopic repair of iatrogenic duodenal perforation by over-the-scope clipping system (OTSC) and endoclips in an 84-year-old woman that occurred during linear endosonography (EUS) examination. One OTSC and 8 clips were used for repairing the perforation hole. After 3 days in the intensive care unit (ICU) by chest tube and without oral feeding, she was discharged from the hospital at 6. admission day, and she also had an acute coronary attack during 4. hospital day. OTSC and clipping devices are very useful for repair of iatrogenic perforations, especially in older patients who have comorbid diseases and who can not tolerate the surgery.
在此，我们介绍了一例84岁女性在进行线性内镜超声检查（EUS）时发生医源性十二指肠穿孔，采用内镜下套扎系统（OTSC）和内镜夹进行修复的病例。使用了1个OTSC和8个夹子来修复穿孔孔。在重症监护病房（ICU）通过胸管治疗3天且未进行经口喂养后，她于入院第6天出院，并且在住院第4天还发生了急性冠状动脉发作。OTSC和夹闭装置对于医源性穿孔的修复非常有用，尤其是对于患有合并症且无法耐受手术的老年患者。
