Han JH, Lee TH, Jung Y, Lee SH, Kim H, Han HS, Chae H, Park SM, Youn S. Rescue endoscopic band ligation of iatrogenic gastric perforations following failed endoclip closure. World J Gastroenterol 2013; 19(6): 955-959 [PMID: 23429885 DOI: 10.3748/wjg.v19.i6.955]
Corresponding Author of This Article
Tae Hoon Lee, MD, PhD, Division of Gastroenterology, Department of Internal Medicine, Soon Chun Hyang University College of Medicine, Cheonan Hospital, 23-20 Bongmyung-dong, Cheonan-si, Cheonan 330-721, South Korea. thlee9@lycos.co.kr
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
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World J Gastroenterol. Feb 14, 2013; 19(6): 955-959 Published online Feb 14, 2013. doi: 10.3748/wjg.v19.i6.955
Rescue endoscopic band ligation of iatrogenic gastric perforations following failed endoclip closure
Joung-Ho Han, Tae Hoon Lee, Yunho Jung, Suck-Ho Lee, Hyun Kim, Hye-Suk Han, Heebok Chae, Seon Mee Park, Seijin Youn
Joung-Ho Han, Hyun Kim, Hye-Suk Han, Heebok Chae, Seon Mee Park, Seijin Youn, Division of Gastroenterology, Department of Internal medicine, Chungbuk National University College of Medicine, Cheongju 361-711, South Korea
Tae Hoon Lee, Yunho Jung, Suck-Ho Lee, Division of Gastroenterology, Department of Internal Medicine, Soon Chun Hyang University College of Medicine, Cheonan Hospital, Cheonan 330-721, South Korea
Author contributions: Han JH and Lee TH contributed equally to this work; Jung Y, Park SM, Kim H, Han HS, Chae H, Lee SH and Youn S provided clinical advice and analyzed the data; Han JH and Lee SH performed the procedures; Han JH and Lee TH designed case report; and Lee TH and Han JH wrote the paper.
Supported by Grant of the Korea Healthcare Technology R and D Project, Ministry of Health and Welfare, South Korea, No. A100054
Correspondence to: Tae Hoon Lee, MD, PhD, Division of Gastroenterology, Department of Internal Medicine, Soon Chun Hyang University College of Medicine, Cheonan Hospital, 23-20 Bongmyung-dong, Cheonan-si, Cheonan 330-721, South Korea. thlee9@lycos.co.kr
Telephone: +82-41-5703662 Fax: +82-41-5745762
Received: October 3, 2012 Revised: November 6, 2012 Accepted: November 11, 2012 Published online: February 14, 2013
Abstract
Iatrogenic gastric perforation is one of the most serious complications during therapeutic endoscopy, despite significant advances in endoscopic techniques and devices. This case study evaluated the clinical efficacy and safety of the rescue endoscopic band ligation (EBL) technique in iatrogenic gastric wall perforation following the failure of primary endoclip closure. Five patients were enrolled in this study. These patients underwent emergency endoscopy following the onset of acute gastric wall perforation during endoscopic procedures. The outcome measurements were primary technical success and immediate or delayed procedure-related complications. Successful endoscopic closure using band ligation was reported in all patients, with no complication occurring. We conclude that EBL may be a feasible and safe alternate technique for the management of acute gastric perforation, especially in cases where closure is difficult with endoclips.
