ArticleSurgical endoscopy2019
Endoscopic closure of iatrogenic colon perforation using dual-channel endoscope with an endoloop and clips: methods and feasibility data (with videos).
Article in Surgical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Management of colonoscopic perforation: a systematic review and treatment algorithm.Surgical endoscopy · 2019Pooled it
- Iatrogenic colon perforation: endoscopic management or surgery.Clinical endoscopy · 2026Review
- Long transparent cap-assisted clip closure technique: a new choice for gastrointestinal defect closure.BMC gastroenterology · 2025Article
- Successful Closure of a Large Rectal Perforation Secondary to an Unusual Foreign Body Using Endoscopic Clip and Loop Technique (King Closure).ACG case reports journal · 2025Article
- Summary of the current guidelines for managing iatrogenic colorectal perforations and the evolving role of endoluminal vacuum therapy.World journal of clinical cases · 2025Article
- Closure of gastrointestinal perforations using an endoloop system and a single-channel endoscope: description of a simple, reproducible, and standardized method.Surgical endoscopy · 2024Article
- Successful endoscopic closure of a large esophageal perforation using the purse-string technique.Endoscopy · 2023Article
- Management of complications related to colorectal endoscopic submucosal dissection.Clinical endoscopy · 2023Review
- Characteristics and endoscopic treatment of interventional and non-interventional iatrogenic colorectal perforations in centers with high endoscopic expertise: a retrospective multicenter study.Surgical endoscopy · 2023Article
- Feasibility and efficacy of endoscopic purse-string suture-assisted closure for mucosal defects induced by endoscopic manipulations.World journal of gastroenterology · 2023Observational
- Anorectal manometry after rectal surgery: a case report with rectal bleeding and perforation.Journal of gastrointestinal oncology · 2022Article
- Metal stent combined with ileus drainage tube for the treatment of delayed rectal perforation: A case report.World journal of clinical cases · 2022Article
- Endoscopic management of difficult laterally spreading tumors in colorectum.World journal of gastrointestinal endoscopy · 2022Review
- Endoscopic repair of delayed stomach perforation caused by penetrating trauma: A case report.World journal of clinical cases · 2021Article
- Endoscopic Management of Iatrogenic Colon Perforation.Clinical endoscopy · 2020Article
- A Study of a Novel Disposable Endoscopic Purse-String Suture Auxiliary Instrument for the Treatment of Full-Thickness Gastric Wall Defects.Journal of digestive diseasesArticle
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundColon perforation is the most serious complication associated with colonoscopic procedures. We performed a novel purse-string suture technique to close the iatrogenic colonic perforation using dual-channel endoscope with an endoloop and clips.
methodsIatrogenic colon perforations developed during diagnostic colonoscopy referred to a tertiary hospital over 10 years were considered for this endoscopic closure. An endoloop was inserted through the left channel of the endoscope and placed around the defect. The first clip was placed at the proximal site of the defect through the other channel of the endoscope, and the endoloop was anchored on the mucosa around the defect. Then, subsequent clips were placed next to previous clips and the endoloop was fixed. After the defect was encircled by the endoloop and clips, the rim of the opening was approximated by fastening the endoloop with a purse-string technique.
resultsA total of 8 patients were admitted to our hospital because of iatrogenic colon perforations during diagnostic colonoscopy. Of these, 2 underwent laparoscopic surgery and 6 underwent endoscopic closure by this novel purse-string suture technique. The estimated diameters of the perforations were 20 mm. All cases were successfully treated in the endoscopy unit without sedation or general anesthesia, and recovered without any complication or subsequent operation. Abdominal pain had nearly resolved within 3 days after the procedure in all patients, and only mild peritonitis was observed.
conclusionsIatrogenic colon perforation can be treated with a purse-string suture technique using dual-channel endoscope with an endoloop and clips. This technique can be useful for relatively large colon perforations associated with diagnostic colonoscopy.
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