Successful Endoscopic Removal of Toothpick Perforating Gastric Antrum With Over-the-Scope Padlock Clip Closure

Endoscopic removal of the Padlock-G clip.

Successful endoscopic closure of gastrocutaneous fistula with an over-the-scope clip.

1Department of Gastroenterology, Hospital Santo António, Centro Hospitalar Porto, Porto; 2Department of Gastroenterology, Hospital de Braga; 3Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga; 4ICVS/3B’s – PT Government Associate Laboratory, Braga/Guimarães; 5Department of Surgery, Hospital Santo António, Centro Hospitalar Porto, Porto, Po...

Successful endoscopic closure of iatrogenic duodenal perforation with the new Padlock Clip.

Although duodenal perforations are rare [1], they represent one of the most critical complications of endoscopic ultrasound (EUS) and may be fatal in elderly patients. Following the introduction of endoscopic clips, stents, and over-thescope systems into clinical practice, endoscopic management of perforations has became the first therapeutic option [2, 3]. We present the case of a 62-year-old ...

Endoscopic closure of duodenal perforation with an over-the-scope clip during endoscopic ultrasound-guided cholangiopancreatography.

A 74-year-old woman presented obstructive jaundice. Computed tomography revealed a pancreatic head tumor with dilatation of the common bile duct (CBD) and pulmonary metastases. Biliary drainage by ERCP was indicated. Papilla had tumoral signs of infiltration. Cannulation was not achieved after several attempts with a papillotome. We accessed the distal CBD after performing a pre-cut, but the gu...

Over-the-Scope Clip Closure of a Colon Perforation Caused by an Ingested Wooden Toothpick

A 62-year-old male presented with abdominal pain in the right lower quadrant for 1 day. The patient’s history included an ambulant colonoscopy with no pathological findings 3 weeks prior. Clinical examination revealed tenderness in the right hypochondrium. Moderate inflammation with C-reactive protein 56.6 mg/L but normal white blood cell count was assessed. An enhanced computed tomography scan...