Endoscopic clipping of perforation following pneumatic dilation of esophagojejunal anastomotic strictures

Two patients with small perforations occurring after endoscopic balloon dil ation of esophagojejunal anastomotic strictures were treated conservatively using metal clips. Closure of the perforation was achieved in both cases, using one and two clips in a single session. There was no procedure-related morbidity and no patient developed complications. Patients were discharged from hospital on days 4 and 5, respectively. In patients with esophagojeju nal anastomotic stictures, endoscopic treatment of postdilation perforation by metal clips is safe and effective.