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Updated: Jun 16, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis

Murine Ileocolic Bowel Resection with Primary Anastomosis

Published on: October 29, 2014

[Large iatrogenic colonic perforation treated by endoscopic suturing].

J-F Demarquay¹, H Perrin, P Hastier

¹Service d'Hépatogastro-Entérologie du Centre Hospitalier Princesse-Grace, Principauté de Monaco, avenue Pasteur, 98012 Monaco cedex, France. jean-francois.demarquay@chpg.mc

Gastroenterologie Clinique Et Biologique

|February 2, 2010

Summary

Endoscopic suturing with hemoclips successfully treated two large colonic perforations (≥10mm), offering a minimally invasive alternative to surgery for this severe colonoscopy complication.

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Area of Science:

Gastroenterology
Endoscopic Surgery
Colorectal Surgery

Background:

Colonic perforation is a severe complication of colonoscopy, with surgery as the traditional treatment.
Interventional endoscopy, including endoscopic suturing, has emerged as a potential alternative.
Previous reports focused on smaller perforations (<10mm).

Observation:

This study reports on two cases of colonic perforations, both measuring at least 10mm.
The perforations occurred during diagnostic colonoscopy (sigmoid diverticulum) and endoscopic mucosal resection (ascending colon).
Both perforations were successfully treated using endoscopic suturing with hemoclips.

Findings:

Endoscopic hemoclip suturing is effective for managing larger colonic perforations (≥10mm).
This technique provides a minimally invasive treatment option, potentially avoiding surgery.
Successful closure was achieved in both reported cases, regardless of perforation etiology.

Implications:

Endoscopic suturing may expand the non-operative management options for colonic perforations.
This approach could reduce the need for surgical intervention, lowering patient morbidity.
Further research is warranted to establish the safety and efficacy of endoscopic suturing for larger perforations.