TY - JOUR
T1 - Endoscopic management of surgical complications
AU - Goyal, Mayank
AU - Bains, Anmol
AU - Singh, Yadwinder
AU - Deepali, Fnu
AU - Singh, Anmol
AU - Sood, Shubham
AU - Buttar, Navtej S.
N1 - Publisher Copyright:
© 2024
PY - 2024
Y1 - 2024
N2 - While the endoscopic management of surgical complications like leaks, fistulas, and perforations is rapidly evolving, its core principles revolve around closure, drainage, and containment. Effectively managing these conditions relies on several factors, such as the underlying cause, chronicity of the lesion, tissue viability, co-morbidities, availability of devices, and expertise required to perform the endoscopy. In contrast to acute perforation, fistulas and leaks often demand a multimodal approach requiring more than one session to achieve the required results. Although the ultimate goal is complete resolution, these endoscopic interventions can provide clinical stability, enabling enteral feeding to lead to early hospital discharge or elective surgery. In this discussion, we emphasize the current state of knowledge and the prospective role of endoscopic interventions in managing surgical complications.
AB - While the endoscopic management of surgical complications like leaks, fistulas, and perforations is rapidly evolving, its core principles revolve around closure, drainage, and containment. Effectively managing these conditions relies on several factors, such as the underlying cause, chronicity of the lesion, tissue viability, co-morbidities, availability of devices, and expertise required to perform the endoscopy. In contrast to acute perforation, fistulas and leaks often demand a multimodal approach requiring more than one session to achieve the required results. Although the ultimate goal is complete resolution, these endoscopic interventions can provide clinical stability, enabling enteral feeding to lead to early hospital discharge or elective surgery. In this discussion, we emphasize the current state of knowledge and the prospective role of endoscopic interventions in managing surgical complications.
KW - Clips
KW - Endoscopic suturing
KW - Fistulas
KW - Leaks
KW - Perforation
KW - Stent
KW - Surgical complications
KW - Tissue adhesives
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U2 - 10.1016/j.bpg.2024.101898
DO - 10.1016/j.bpg.2024.101898
M3 - Review article
AN - SCOPUS:85189001634
SN - 1521-6918
JO - Best Practice and Research: Clinical Gastroenterology
JF - Best Practice and Research: Clinical Gastroenterology
M1 - 101898
ER -