Successful closure of a delayed persistent duodenal perforation using endoscopic suturing after unsuccessful surgical intervention
Jameel Alp, Rahul Karna, Natalie Wilson, Mohammad Bilal · 2024
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Description
Alp and co-authors present a video case of an 80-year-old man whose duodenal perforation stayed open after surgery, and who was finally treated from inside the bowel. Delayed perforations are hard to close this way because of contamination risk and scarred tissue.
Scans after his first operation showed a continuing leak from a 15-millimeter ulcer where the first and second parts of the duodenum meet. The team treated the ulcer edges, then closed the defect with a full-thickness suturing device in a Z pattern, adding clips at one edge. A drainage tube was placed through the nose. Follow-up imaging showed no leak, and the patient recovered enough to eat and go home.
Catalog record
| CREATOR | Jameel Alp, Rahul Karna, Natalie Wilson, Mohammad Bilal |
|---|---|
| YEAR | 2024 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 2 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |