15 Aug

Endoscopic repair of a colonic perforation following polypectomy using an endoclip

Polypectomy

Polypectomy using snare cautery is the standard treatment for most colonic polyps. This procedure is safe and well tolerated, with few complications. When perforation happens immediately, treatment is usually surgical repair or resection . The endoscopic clipping device is gaining widespread popularity in its use due to its ease of application . Marking lesions and control of bleeding are some of the accepted application of this device. The author describes a case of a patient who underwent repair of a colonic perforation following polypectomy using this endoscopic clipping device.

A 78-year-old woman with multiple medical problems, consisting of severe osteoporosis, severe rheumatoid arthritis, early renal failure and congestive heart failure, presented with dyspnea. She had been on immunosuppressants, including steroids, and was found to be anemic with hemoglobin of 78 g/L. After being transfused and stabilized, she was prepped with an oral phosphate fleet solution at the referring hospital and was transferred to our regional hospital for colonoscopic evaluation. She was found to have an 8 mm polyp at the cecum. Most advantageous shopping – buy levaquin 500 mg for everyone to spend less.

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