412 A Large International Multicenter Experience With an Over-the-Scope Clipping Device for Endoscopic Management of Gastrointestinal Perforations, Fistulae, and Leaks in 188 Patients

Chavez, Yamile Haito; Kratt, Thomas; Law, Joanna K.; Arezzo, Alberto; Sharaiha, Reem Z.; Poley, Jan–Werner; Kahaleh, Michel; Thompson, Christopher C.; Ryan, Michele B.; Choksi, Neel; Elmunzer, B. Joseph; Gosain, Sonia; Goldberg, Eric; Modayil, Rani J.; Stavropoulos, Stavros N.; Schembre, Drew; DiMaio, Christopher J.; Chandrasekhara, Vinay; Hasan, Muhammad; Varadarajulu, Shyam; Hawes, Robert H.; Gómez, Victoria; Woodward, Timothy A.; Cohen, Sergio Rubel; Fluxá, Fernando; Vleggaar, Frank P.; Raju, Gottumukkala S.; Khashab, Mouen A.

doi:10.1016/j.gie.2013.04.070

Cited by 3 publications

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“…This is primarily due to the endorsement of screening and surveillance programmes for various gastrointestinal (GI) diseases and the development of new procedures. Perforation is one of the most feared complications of GI endoscopy 1…”

Section: Introductionmentioning

confidence: 99%

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Sealing the hole: endoscopic management of acute gastrointestinal perforations

Gabr¹

2019

Frontline Gastroenterol

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Acute perforations are one of the recognised complications of both diagnostic and therapeutic gastrointestinal (GI) endoscopy. The incidence rate varies according to the type of procedure and the anatomical location within the GI tract. For decades, surgical treatment has been the standard of care, but endoscopic closure has become a more popular approach, due to feasibility and the reduction of the burden of surgery. Various devices are available now such as through-the-scope clips, over-the-scope clips, endoscopic suturing devices, stents, bands and omental patch. All have been tested in studies done on humans or animal models, with a reasonable overall technical and clinical success rate, proving efficiency and feasibility of endoscopic closure. The choice of which device to use depends on the site and the size of the perforation. It also depends on availability of thee device and the endoscopist’s experience. A number of factors that could predict success of endoscopic closure or favour surgical treatment have been suggested in different studies. After successful endoscopic closure, patients are usually kept nil by mouth and receive antibiotics for a duration that varied between different studies.

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Section: Introductionmentioning

confidence: 99%

“…The decision to close the defect endoscopically will depend on a number of factors: (1) localisation and size of the perforation, (2) stool contamination, (3) availability of instruments to close the defect, (4) the endoscopist’s expertise and skills1 3 5 7 9 and (5) the cardiovascular stability of the patient 10 11…”

Section: Introductionmentioning

confidence: 99%

Sealing the hole: endoscopic management of acute gastrointestinal perforations

Gabr¹

2019

Frontline Gastroenterol

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Nuevas tecnologías en endoscopia

Barrera-Torres¹

2013

Revista de Gastroenterología de México

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Endoscopic Management of Leaks and Fistula in Gastrointestinal Tract

Goenka¹,

Rodge²,

Goenka³

2020

Advanced Endoscopy

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Leak, perforation, and fistula are the three main types of transmural defects in the gastrointestinal (GI) tract. Evolution of interventional endoscopic\ techniques as well as widespread use of laparoscopic and bariatric surgical procedures has contributed to the rising incidence of GI defects. The basic principle for management of leaks and fistula is to provide a barricade to the flow of luminal contents across the defect. This can be achieved either by a surgical or endoscopic method. Minimally invasive closure techniques such as clipping, stenting, suturing, and endoscopic vacuum therapy have revolutionized the management of GI defects. This chapter deals with endoscopic techniques and their present status in the management of luminal GI leaks and fistula.

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412 A Large International Multicenter Experience With an Over-the-Scope Clipping Device for Endoscopic Management of Gastrointestinal Perforations, Fistulae, and Leaks in 188 Patients

Cited by 3 publications

References 0 publications

Sealing the hole: endoscopic management of acute gastrointestinal perforations

Sealing the hole: endoscopic management of acute gastrointestinal perforations

Nuevas tecnologías en endoscopia

Endoscopic Management of Leaks and Fistula in Gastrointestinal Tract

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