Endoscopic closure with Padlock clip for iatrogenic duodenal perforation

Although, the incidence of iatrogenic duodenal perforation is not high, it is associated with high morbidity and mortality in elderly patients.Primary surgical repair had been regarded as the treatment of choice for this situation.There have been some case reports in which endoscopic closure using through-the-scope clips with/without endoloop for an iatrogenic duodenal perforation was successful in Korea.A novel endoscopic clip, Padlock clip has been introduced as the endoscopic closure system for the gastrointestinal perforation.We experienced the case of successful treatment of the iatrogenic duodenal perforation using a Padlock clip.The patient was recovered and discharged with supportive care.