Year 2022 / Volume 114 / Number 11
Letter
Endoscopic submucosal dissection treatment of a case of Hem-o-lok® clip migration into the rectum submucosa

683-684

DOI: 10.17235/reed.2022.8897/2022

Qian Zhang, Denghao Deng, Chaowu Chen, Jun Liu, Weiwei Chen, Lu Wang, Haina Chai,

Abstract
Migration of hem-o-lok clips to the rectum after laparoscopic radical prostatectomy (LRP) is rare. Only two cases have reported this phenomenon, both of which were found to have one end of the Hem-o-lok clip protruding into the rectal lumen during regular colonoscopy. So it was easier to diagnose and treat. Here we report a case of a 61-year-old patient who underwent LRP for prostate cancer. And Hem-o-lok clips were used for the ligation of the neurovascular bundle during LRP. Migration of the Hem-o-lok clip into the rectal submucosa occurred three years after LRP and was successfully diagnosed and treated by Endoscopic submucosal dissection (ESD). Based on this case, we suggest that clinicians should be aware of the phenomenon of intestinal submucosal lesions caused by surgical clip migration, and ESD is a feasible treatment for it.
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References
1.Wu SD, Rios RR, Meeks JJ, et al. Rectal Hem-o-Lok clip migration after robot-assisted laparoscopic radical prostatectomy. Can J Urol. 2009; 16(6):4939-4940.
2.Patil A, Komanduri S. Weck clip migration into the rectum. Gastrointest Endosc. 2012;75(2):426; discussion 427. DOI: 10.1016/j.gie.2011.10.016.
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Citation tools
Zhang Q, Deng D, Chen C, Liu J, Chen W, Wang L, et all. Endoscopic submucosal dissection treatment of a case of Hem-o-lok® clip migration into the rectum submucosa . 8897/2022


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Publication history

Received: 30/04/2022

Accepted: 03/05/2022

Online First: 12/05/2022

Published: 07/11/2022

Article Online First time: 12 days

Article editing time: 191 days


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