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Management of ERCP-related perforation: a large multicenter study.
Gastrointest Endosc
December 2024
Department of Gastroenterology and Hepatology, Kindai University Faculty of Medicine, Osaka, Japan.
Background And Aims: Perforation is a rare but serious adverse event associated with endoscopic retrograde cholangiopancreatography (ERCP). There is no consensus to guide clinicians in the management of ERCP-related duodenal perforations, making it difficult to determine whether surgical or endoscopic treatment is optimal. The present study retrospectively evaluated the characteristics and clinical outcomes of patients who experienced ERCP-related duodenal perforations according to the mechanism of injury.
View Article and Find Full Text PDFNew generation endoscopic closure devices for full-thickness defects: a comparative pre-clinical study (with videos).
Surg Endosc
January 2025
Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Boston, Massachusetts and Harvard Medical School, 75 Francis St, Boston, MA, 02115, USA.
Background: Endoscopic closure techniques are effective and safe in the management of transmural gastrointestinal defects. However, there is a paucity of data regarding their comparative effectiveness. This study aimed to compare the efficacy and safety of several new-generation, endoscopic closure devices in a pre-clinical model.
View Article and Find Full Text PDFEndoscopic management of colonic perforations.
Curr Opin Gastroenterol
January 2025
Division of Gastroenterology, Mount Sinai-South Nassau, Oceanside, New York, USA.
Purpose Of Review: We will review the current management of colonic perforations, with particular emphasis on iatrogenic perforations caused by colonoscopy, the leading etiology. We will focus on recently developed endoscopic techniques and technologies that obviate morbid emergency surgery (the standard management approach in years past).
Recent Findings: Colonic perforations are rare but potentially fatal complications of both diagnostic and therapeutic colonoscopy resulting in death in approximately 5% of cases with the mortality increasing with delay in diagnosis and treatment.
Over-the-scope pre-looping method using an endoloop in endoscopic full-thickness resection of gastric gastrointestinal stromal tumor.
Endoscopy
December 2024
Endoscopy Division, National Cancer Center Hospital, Chuo-ku, Tokyo, Japan.
Successful closure of a duodenal stump leak with an over-the-scope clip using double-balloon endoscope.
Endoscopy
December 2024
Department of Gastroenterology, Nanpuh Hospital, Kagoshima, Japan.
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