Endoscopic repair of rectal perforation due to colonoscopy with a clamp method

Özet

Colon perforation during colonoscopy is a rare complication that usually requires surgical intervention. Traditionally,primary repair by laparoscopy, laparotomy, resection, and anastomosis is performed for such perforations. Morerecently developed minimally invasive endoscopic instruments have also been used in the repair of these perforations;this is becoming increasingly common. An endoscopic over-the-scope clip clamp was used in a 59-year-oldmale patient who suffered a rectum perforation in connection with a diagnostic colonoscopy. He was referred to ourclinic. A colonoscopy was performed in our clinic to assess the rectal perforation caused by a diagnostic colonoscopy2 h after the initial colonoscopy, with the concurrent therapeutic purpose of repairing the perforation using anendoscopic clamping method. Oral feeding was started 24 h after the procedure. After three days, the patient wasdischarged. An endoscopic clamping method in appropriate cases can be a safe and appropriate alternative therapyin the management of colonoscopic perforations.