Bowel perforation after endoscopic submucosal dissection due to colon cancer and successful endoscopic treatment using an Ovesco clip

An 83-year-old woman under intravenous anaesthesia underwent endoscopic submucosal dissection due to early well-differentiated colon cancer with no deep invasion (pT1). Wide perforation in the deep site of excision of the descending colon was identified and an Ovesco clip placed to close the defect....

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Veröffentlicht in:	BMJ case reports 2016-03, Vol.2016, p.bcr2015214331
Hauptverfasser:	Kryzauskas, Marius, Stanaitis, Juozas, Vaicekauskas, Rolandas, Mikalauskas, Saulius
Format:	Artikel
Sprache:	eng
Schlagworte:	80 years Aged, 80 and over Colon Colonic Neoplasms - complications Colonic Neoplasms - surgery Colonoscopy - methods Defects Dissection Dissection - adverse effects Endoscopic Mucosal Resection - adverse effects Endoscopic Mucosal Resection - methods Endoscopy Endoscopy, Digestive System - methods Europe (East) Female Humans Intestinal Perforation - complications Intestinal Perforation - surgery Learning from Errors Performance evaluation Surgical Instruments Treatment Outcome White
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Zusammenfassung:	An 83-year-old woman under intravenous anaesthesia underwent endoscopic submucosal dissection due to early well-differentiated colon cancer with no deep invasion (pT1). Wide perforation in the deep site of excision of the descending colon was identified and an Ovesco clip placed to close the defect. The patient was discharged from the hospital on day 4 after the procedure, with no abdominal pain and no peritoneal signs of inflammation. Follow-up CT and colonoscopy were performed after 6 months, and no recurrence was observed.
ISSN:	1757-790X 1757-790X
DOI:	10.1136/bcr-2015-214331