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Wiley InterScience

Digestive Endoscopy

Digestive Endoscopy

Volume 14 Issue 4, Pages 181 - 183

Published Online: 11 Dec 2002

Journal compilation © 2010 Japan Gastroenterological Endoscopy Society



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Colonic perforation after endoscopic biopsy of a submucosal tumor: successful conservative treatment
Kuang-I. Fu * , Yasushi Sano * , Shigeharu Kato * , Takahiro Fujii, Jun Arao * , Takayuki Yoshino * , Masanori Sugito, Masato Ono, Norio Saito and Shigeaki Yoshida *
Divisions of  *Gastrointestinal Oncology and Digestive Endoscopy,  Endoscopy, National Cancer Center Hospital and  Surgery, National Cancer Center Hospital East, Kashiwa, Chiba, Japan
Correspondence: Kuang-I Fu, Division of Digestive Endoscopy, Tochigi Cancer Center Hospital, 4-9-13 Yohnan, Utsunomiya city, Tochigi 320-0834, Japan. Email: kfuu@tcc.pref.tochigi.jp
Copyright 2002 Blackwell Science Asia Pty. Ltd.
KEYWORDS
bite biopsy • colonic perforation • endoclip • endoscopic resection

ABSTRACT

Colonoscopy is a powerful diagnostic and therapeutic procedure with a recognized risk of complications ranging from perforation to hemorrhage and septicemia. Perhaps the most dangerous complication associated with this procedure is bowel perforation. Although some colonic perforations can be treated medically, prompt surgery is generally preferred to minimize morbidity and mortality. We present a case of colonic perforation resulting from bite biopsy followed by mucosal resection of a submucosal tumor. Perforation occurred in a delayed manner despite prophylactic closure of the mucosal defect by the replacement of endoclips. The patient recovered spontaneously after antibiotic treatment and reduction of oral intake. We carried out successful conservative medical treatment of a minor iatrogenically induced bowel perforation without operation.


Received 31 May 2002; accepted 1 July 2002.

DIGITAL OBJECT IDENTIFIER (DOI)
10.1046/j.1443-1661.2002.00188.x About DOI

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