Surgeon’s perspective on rare yet potentially fatal complication of GI perforation following endoscopy
Abstract
Gastrointestinal endoscopy plays an essential role in the diagnosis, staging, and treatment of pathologies of the GI tract. New-generation endoscopes, advanced imaging technologies, the introduction of new therapeutic devices into clinical practice, and modification of old techniques have expanded both the diagnostic and therapeutic armamentarium of the endoscopist. complications are rare with a rate of less than 1 per 5000 cases. perforations are either due to therapeutic dilatation, coagulation or passage of side viewing instrument into the duodenum. Here we present a case of 56 yr old male who underwent diagnostic endoscopy for peptic ulcer. I t lead to endoscope induced large duodenal perforation of about 10 cms in its long axis recognized at laparotomy 10 days after the intervention.it is important to mention the perforation was repaired surgically and patient developed no post operative complications. Undesired complications though rare, are potentially fatal and risks need to be evaluated before performing all endoscopic procedures
Downloads
References
Silvis SE, Nebel O, Rogers G, Sugawa C, Mandelstam P. Endoscopic complications. Results of the 1974 American Society for Gastrointestinal Endoscopy Survey. JAMA 1976;235:928.
Abbas G, Schuchert MJ, Pettiford BL, et al. Contemporaneous management of esophageal perforation. Surgery 2009;146:749-55.
Lai CH, Lau WY. Management of endoscopic retrograde cholangiopancreatography-related perforation. Surgeon 2008;6:45-8.
Fakhry S, Watts D, Daley B, et al: Current diagnostic approaches lack sensitivity in the diagnosis of perforating blunt small bowel injury (SBI): Findings from a large multi-institutional study. J Trauma 2001;51:1232
Solomon M, Schlachterman A, Morgenstern R. Iatrogenic Duodenal Perforation Treated with Endoscopic Placement of Metallic Clips: A Case Report. Case Reports in Medicine, vol. 2012,article 609750.
Copyright (c) 2015 Acta Medica Scientia
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
A) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
B) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
C) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).