Gastrointestinal perforations, leaks and fistulas may complicate endoscopic and surgical procedures. Surgical repair is associated with significant morbidity. Therapeutic endoscopic tools and techniques have included the application of tissue sealants, clip closure, and stent placement. Endoscopic suturing is a rapidly evolving minimally invasive technique. The OverStitchTM (Apollo Endosurgery, USA) is currently the only available endoscopic suturing system. Although technically more difficult than clip closure, endoscopic suturing allows closure of larger defects. In some settings, outcomes similar to surgical management with less morbidity may be achieved. This review describes the OverStitchTM endoscopic suturing system and the published literature regarding its use for perforations, leaks and fistulas.
Fistula* ; Intestinal Perforation* ; Stents

No abstract available.
Dreams* ; Intestinal Perforation*

A retrospective study on 14 patients with diagnosis and treatment of peritonitis in Viet Duc hospital from January /2000 to December/2004. Results: Most of them have unpredictable reason of intestinal perforation. There are three groups of reason after operation: break of small intestinal cancer (leiomyosarcoma, maglinant lymphoma), tuberculosis and inflammation without specific cause. Most cases were treated appropriately with peritonitis: stitches the holes, cut the intestinal section in abdomen...however cultivate bacterium for antibiogram and it doesn’t carry out systematic, the diseases after operation due to tuberculosis haven’t treated as the standard outline. The fatality rate: 2/14 is acceptable due to both 2 patients with small intestinal cancer in weakened situation.
Peritonitis ; Intestinal Perforation ; Diagnosis ; Therapeutics

No abstract available.
Intestinal Perforation* ; Leiomyoma* ; Osteomyelitis* ; Ultrasonography*

Gastrointestinal symptoms of Churg-Strauss syndrome (CSS) are common, but intestinal perforation is very unusual and occurred during steroid therapy in the previous case. We report a CSS showing intestinal perforation, which was caused by a complication of vasculitis.
Churg-Strauss Syndrome ; Intestinal Perforation* ; Vasculitis

Latrogenic extraperitoneal bowel perforation accounts for 0.8% of potential adverse events of percutaneous nephrolithotomy. Most of perforated cases were detected post-operatively because of non-specific clinical symptoms. Conservative management may be performed in cases of retroperitoneal injuries by using separation technique of colon from involved kidney to prevent the formation of fistula.
Nephrostomy, Percutaneous ; Intestines ; Intestinal Perforation ; Therapeutics

Colonoscopy is a relatively safe tool for diagnosis and treatment of colorectal disease. But colonic perforation during colonoscopy is a severe complication and sometimes becomes a life-threatening condition. It occurs with a frequency of 0.07% among patients having diagnostic colonoscopy and in up to 0.40% of patients having therapeutic colonoscopy. In these cases, surgical treatment is needed but endoscopic repair and conservative management could reduce the need for immediate operations. Endoscopic clipping has been the principal method for non-operative treatment of iatrogenic colonic perforation, but it has important limitations. One of them is that it is technically difficult to clip when the angle of approach is tangential. Here we report a case of an iatrogenic colonic perforation treated with endoscopic band ligation rather than endoscopic clipping, because of approach difficulties.
Colon ; Colonoscopy ; Humans ; Intestinal Perforation ; Ligation

Endoscopic retrograde cholangiopancreatography (ERCP)-related perforations of the duodenum are rare but serious complications. Some ERCP-related perforations can be successfully managed without surgery. However, the presence of duodenal perforation may lead to premature termination of the ERCP and need for additional procedure such as percutaneous biliary drainage. If the ERCP-related perforation is identified early during the procedure, primary closure of the perforation can be attempted first or after completion of ERCP. We report two cases of duodenal perforation during ERCP in which ERCP was successfully completed after primary closure of the perforation.
Cholangiopancreatography, Endoscopic Retrograde ; Drainage ; Duodenum ; Intestinal Perforation

No abstract available.
Bacteremia ; Brachyspira ; Humans ; Intestinal Perforation ; Peritonitis

Intestinal perforation by an ingested foreign body is uncommon, and less than 1% lead to intestinal perforation. The diagnosis of fish-bone-induced intestinal perforation is difficult because of the rare history of foreign body ingestion, various clinical presentations, and the radiolucent character of fish bone. Usually, the correct diagnosis is established after an operation. We experienced a rare case of small bowel perforation induced by a fish bone accompanying an intestinal obstruction due to previous operation. Foreignbody-induced perforation is relatively rare, but it should be considered in the case of an acute abdomen.
Abdomen, Acute ; Diagnosis ; Eating ; Foreign Bodies ; Intestinal Obstruction* ; Intestinal Perforation