Clip closure versus endoscopic suturing versus thoracoscopic repair of an iatrogenic esophageal perforation: a randomized, comparative, long-term survival study in a porcine model (with videos)

Fritscher-Ravens, Annette; Hampe, Jochen; Grange, Phillippe; Holland, Christopher M.; Olagbeye, F.; Milla, Peter J.; Herbay, A. von; Jacobsen, Bjoern; Seehusen, Frauke; Hadeler, Klaus‐Gerd; Mannur, Kesava R.

doi:10.1016/j.gie.2010.07.029

Cited by 34 publications

(18 citation statements)

References 18 publications

(18 reference statements)

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“…4,5 There were 3 prospective case series, all of which reported on endoscopic suturing as a treatment modality for humans with GERD. [6][7][8] The remainder and majority of the article types were retrospective case series and case reports.…”

Section: Resultsmentioning

confidence: 99%

Endoluminal flexible endoscopic suturing for minimally invasive therapies

Conway

Swanström

2015

Gastrointestinal Endoscopy

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Section: Resultsmentioning

confidence: 99%

Endoluminal flexible endoscopic suturing for minimally invasive therapies

Conway

Swanström

2015

Gastrointestinal Endoscopy

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“…In a prospective study of surviving porcine model on closure of esophageal perforation by TTS clip, endoscopic suture, and thoracoscopic repair, the mean length × width were 18 × 8, 15 × 6, and 18 × 7 mm, respectively. 36 Only TTS clip group had no mortality, while the endoscopic suture and thoracoscopic closure groups had mortality at 17% in each group, however the difference did not reach statistical significance due to small sample size.…”

Section: Endoscopic Managementmentioning

confidence: 86%

Endoscopic closure of iatrogenic perforation

Angsuwatcharakon

Rerknimitr

2016

Int J Gastrointest Interv

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A B S T R A C TIatrogenic perforation of the gastrointestinal (GI) tract is one of the serious complications in GI endoscopy. With the advancement in technique of GI endoscopy especially therapeutic endoscopy, the risk of perforation has increased. Prompt detection is the only way to avoid delay treatment and poor outcome. Recently, there are new instruments and techniques developed that can be reliably applied for an endoscopic closure without the need for surgery. Therefore, endoscopists should be familiar with these instruments as the result of successful endoscopic closure has lower rate of morbidity than surgery. In this review, the techniques of endoscopic closure are described according to the organs of perforation. In addition, the general knowledge and management of perforation in other aspects including tension pneumothorax, abdominal compartment syndrome, or infection induced by contamination of GI content are explained.

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“…Clips are even more reliable and provide better healing and fewer periesophageal adhesions compared with transmural suturing devices. [17][18] Clip closure can be achieved not only in small esophageal perforations but also in larger ones. 9,[19][20][21][22] However, in an acute setting, clip use can be limited by technical factors.…”

Section: Discussionmentioning

confidence: 99%