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Brief ReportBrief Report

Successful Endoscopic Repair of an Iatrogenic Colonic Perforation During Diagnostic Colonoscopy

Seung Hwa Lee and Yoo Seock Cheong
The Journal of the American Board of Family Medicine May 2012, 25 (3) 383-389; DOI: https://doi.org/10.3122/jabfm.2012.03.110070
Seung Hwa Lee
MD
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Yoo Seock Cheong
MD
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Article Figures & Data

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  • Figure 1.
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    Figure 1.

    Colonoscopic view of the perforation site, showing a 15-mm perforation at the distal rectum (5 cm above the anal verge).

  • Figure 2.
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    Figure 2.

    After endoscopic repair with six endoclips, the perforation site was closed. A, B, C: Serial views of endoscopic repair of the iatrogenic colonic perforation.

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    Figure 3.

    Colonoscopic finding during follow-up. Two months later, the perforation site was completely healed.

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    Figure 4.

    Schematogram of the colon. Red circles are potential blind spots for colonoscopic visualization.

  • Figure 5.
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    Figure 5.

    A: Retroflexion view of the distal rectum. B: Typical example in another patient, not the presented case, which showed that retroflexion is valuable for detection of the missed rectal lesion. Left. There was no pathologic lesion in the forward view of the distal rectum. Right. A polyp of the distal rectum was observed in the retroflexion view of the distal rectum.

  • Figure 6.
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    Figure 6.

    A: The delivery device of the endoclip. B: Left. The endoclip enclosed in plastic sheath. Middle. The endoclip attached to the delivery device Right. Full opening of the endoclip. C: Example of endoscopic repair by using the endoclip.

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The Journal of the American Board of Family     Medicine: 25 (3)
The Journal of the American Board of Family Medicine
Vol. 25, Issue 3
May-June 2012
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Successful Endoscopic Repair of an Iatrogenic Colonic Perforation During Diagnostic Colonoscopy
Seung Hwa Lee, Yoo Seock Cheong
The Journal of the American Board of Family Medicine May 2012, 25 (3) 383-389; DOI: 10.3122/jabfm.2012.03.110070

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Successful Endoscopic Repair of an Iatrogenic Colonic Perforation During Diagnostic Colonoscopy
Seung Hwa Lee, Yoo Seock Cheong
The Journal of the American Board of Family Medicine May 2012, 25 (3) 383-389; DOI: 10.3122/jabfm.2012.03.110070
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