Current endoscopic closure techniques for the management of gastrointestinal perforations

Author:

Staudenmann Dominic12ORCID,Choi Kevin Kyung Ho13ORCID,Kaffes Arthur John13,Saxena Payal43

Affiliation:

1. AW Morrow Gastroenterology and Liver Centre, Royal Prince Alfred Hospital, Sydney, NSW, Australia

2. Praxis Intesto, Bern, Switzerland; Université de Fribourg, Fribourg, Switzerland

3. The University of Sydney, Sydney, NSW, Australia

4. AW Morrow Gastroenterology and Liver Centre, Royal Prince Alfred Hospital, 50 Missenden Road, Sydney, NSW 2050, Australia

Abstract

Acute gastrointestinal perforations occur either from spontaneous or iatrogenic causes. However, particular attention should be made in acute iatrogenic perforations as timely diagnosis and endoscopic closure prevent morbidity and mortality. With the increasing use of diagnostic endoscopy and advances in therapeutic endoscopy worldwide, the endoscopist must be able to recognize and manage perforations. Depending on the size and location of the defect, a variety of endoscopic clips, stents, and suturing devices are available. This review aims to prepare and guide the endoscopist to use the right tools and techniques for optimal patient outcomes.

Publisher

SAGE Publications

Subject

Gastroenterology

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