Endoscopic management of fistulas, perforations, and leaks

Anushka Baruah, Louis M Wong Kee Song, Navtej Singh Buttar

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Although endoscopic management of fistulas, perforations, and leaks is rapidly evolving, management still revolves around the principles of closure, containment, and drainage. Successful endoscopic management is dependent upon several factors, including underlying etiopathogenesis, lesion chronicity, local tissue viability, concurrent illnesses, device availability, and the expertise to deliver the desired endoscopic interventions. Unlike acute perforations, fistulas and leaks typically require a multimodal approach and more than one treatment session to achieve resolution. Although complete resolution remains the goal, endoscopic interventions may enable clinical stabilization of the patient, allow enteral feeding, and facilitate hospital discharge or elective surgery. Herein, we highlight current knowledge and future role of endoscopic interventions in the management of gastrointestinal defects.

Original languageEnglish (US)
Pages (from-to)178-188
Number of pages11
JournalTechniques in Gastrointestinal Endoscopy
Volume17
Issue number4
DOIs
StatePublished - Oct 1 2015

Keywords

  • Clips
  • Endoscopic suturing
  • Fistulas
  • Leaks
  • Perforations
  • Stent
  • Tissue adhesives

ASJC Scopus subject areas

  • Gastroenterology
  • Radiology Nuclear Medicine and imaging

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