Endoscopic "rescue" treatment for gastrointestinal perforations, anastomotic dehiscence and fistula

Emanuele Dabizzi, Antonella De Ceglie, Kondal R. Kyanam Kabir Baig, Todd H. Baron, Massimo Conio, Michael B. Wallace

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Luminal perforations and anastomotic leaks of the gastrointestinal tract are life-threatening events with high morbidity and mortality. Early recognition and prompt therapy is essential for a favourable outcome. Surgery has long been considered the "gold standard" approach for these conditions; however it is associated with high re-intervention morbidity and mortality. The recent development of endoscopic techniques and devices to manage perforations, leaks and fistulae has made non-surgical treatment an attractive and reasonable alternative approach. Although endoscopic therapy is widely accepted, comparative data of the different techniques are still lacking. In this review we describe, benefits and limitations of the current options in the management of patients with perforations and leaks, in order to improve outcomes.

Original languageEnglish (US)
Pages (from-to)28-40
Number of pages13
JournalClinics and Research in Hepatology and Gastroenterology
Volume40
Issue number1
DOIs
StatePublished - Feb 1 2016

ASJC Scopus subject areas

  • Gastroenterology

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