Tulip bundle technique and fibrin glue injection:Unusual treatment of colonic perforation

查看全文 作　　者：Filippo [1]Mocciaro;Gabriele [1]Curcio;Ilaria [1]Tarantino;Luca [1]Barresi;Marco [2]Spada;Sergio Li [2]Petri;Mario [1]Traina

机构地区：[1]Department of Gastroenterology, IsMeTT, UPMC;[2]Surgery Unit, IsMeTT, UPMC

出　　处：《World Journal of Gastroenterology》索引2011年第17卷第8期,共3页

摘　　要：We report a case of a 63-year-old male who experienced an iatrogenic sigmoid perforation repaired combining three endoscopic techniques.The lesion was large and irregular with three discrete perforations,therefore,we decided to close it by placing one clip per perforation,and then connecting all the clips with two endoloops.Finally we chose to use a fibrin glue injection to obtain a complete sealing.Four days after the colonoscopy the patient underwent a laparoscopic right hemicolectomy due to evidence of a large polyp of the caecum with high grade dysplasia and focal carcinoma in situ.Inspection of the sigma showed complete repair of the perforation.This report underlines how a conservative approach,together with a combination of various endoscopic techniques,can resolve complicated iatrogenic perforations of the colon. 关键词：纤维蛋白胶结肠镜穿孔技术郁金香治疗 SIGMA 检查表

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Tulip bundle technique and fibrin glue injection:Unusual treatment of colonic perforation

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