Endoscopy 2007; 39(12): 1100-1102
DOI: 10.1055/s-2007-966848
Case report

© Georg Thieme Verlag KG Stuttgart · New York

Endoscopic treatment of gastric perforation caused by acute necrotizing pancreatitis using over-the-scope clips: a case report

A.  Kirschniak1 , F.  Traub1 , M.  A.  Kueper1 , D.  Stüker1 , A.  Königsrainer1 , T.  Kratt1
  • 1Clinic for General, Visceral and Transplantation Surgery, University Hospital of Tübingen, Germany
Further Information

Publication History

submitted 31 May 2007

accepted after revision 4 July 2007

Publication Date:
10 December 2007 (online)

Gastric perforation is a rare complication after acute necrotizing pancreatitis. We describe endoscopic closure of a gastric perforation that appeared 4 days after surgical necrosectomy including splenectomy due to necrotizing pancreatitis, using the over-the-scope clip (OTSC) system (Ovesco Endoscopy GmbH, Tübingen, Germany). The clips, which are made of nitinol, are loaded onto an application cap which is mounted on the distal tip of the endoscope. The lesion was closed with two clips and the patient recovered well without reinterventions. The lesions showed normal healing on follow-up.


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A. Kirschniak, MD

Clinic for General, Visceral and Transplantation Surgery

University Hospital of Tübingen

Hoppe-Seyler Strasse 3

72076 Tübingen


Fax: +49-7071-295097

Email: akirschniak@aol.com