Endoscopic closure of iatrogenic duodenal perforation using dual over-the-scope clips

A 44-year-old woman was referred for ERCP after an intraoperative cholangiogram done during laparoscopic cholecystectomy showed common bile duct stones. A 1.5-cm full-thickness perforation was found in the anterior wall of the second portion of the duodenum immediately after insertion of the duodenoscope (Fig. 1). An over-the-scope clip (OTSC) 12/6 type gc was attached to the upper endoscope, and a twin grasper was used to grasp the edges of the perforation (Video 1, available online at www.giejournal.org).
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: VideoGIE Source Type: research