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Management of perforations during endoscopic resection. | LitMetric

Management of perforations during endoscopic resection.

Best Pract Res Clin Gastroenterol

Humanitas Clinical and Research Center, IRCCS-, Endoscopy Unit, Rozzano, Italy; Humanitas University, Department of Biomedical Sciences, Pieve Emanuele, Italy.

Published: March 2024

AI Article Synopsis

  • Perforation is a serious risk during therapeutic endoscopy, presenting significant challenges and potential complications for patients.
  • Endoscopists need to be adept at recognizing and managing these perforations immediately, as timely endoscopic closure can prevent the need for surgery and reduce hospitalization duration.
  • The review focuses on various endoscopic closure techniques—traditional and innovative—while highlighting the limited existing literature on the subject and aiming to enhance understanding of the pros and cons of each method.

Article Abstract

Despite the evolution in tools and techniques, perforation is still one of the most pernicious adverse events of therapeutic endoscopy with potentially huge consequences. As advanced endoscopic resection techniques are worldwide spreading, endoscopists must be ready to manage intraprocedural perforations. In fact, immediate endoscopic closure through a prompt diagnosis represents the first-line option, saving patients from surgery, long hospitalizations and worse outcomes. Traditional and novel endoscopic closure modalities, including clips, suturing devices, stents and vacuum therapy, are increasingly expanding the therapeutic armamentarium for closing these defects. Nevertheless, available literature on this topic is currently limited. In this review our goal is to give an overview on the management of perforations occurring during endoscopic resections, with particular attention to characteristics, advantages, disadvantages and new horizons of endoscopic closure tools.

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Source
http://dx.doi.org/10.1016/j.bpg.2024.101900DOI Listing

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