Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

757
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
757
Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

632
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
632
Lumber Defects01:23

Lumber Defects

563
Lumber defects, which can affect both the appearance and structural integrity of wood, include a variety of growth and manufacturing flaws. Growth defects such as knots and knotholes occur where branches were once attached to the tree trunk, with knotholes forming when these knots fall out. Other natural defects include decay and insect damage, which compromise the wood's strength and durability.
Shakes are minor fractures that run along or across the wood's annual rings, while wane is...
563
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

1.5K
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
1.5K
Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

1.3K
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
1.3K
Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

778
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
778

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Converting percutaneous gallbladder drainage to internal drainage using EUS-guided therapy: A review of current practices and procedures.

Endoscopic ultrasound·2018
Same author

Covered versus uncovered self-expandable metal stent for palliation of primary malignant extrahepatic biliary strictures: a randomized multicenter study.

Gastrointestinal endoscopy·2018
Same author

EUS-guided gastroenterostomy in management of benign gastric outlet obstruction.

Endoscopy international open·2018
Same author

Endoscopic Ultrasound-Guided Gallbladder Drainage.

Gastrointestinal endoscopy clinics of North America·2018
Same author

The sand dollar sign: a reliable EUS image to identify the excluded stomach during EUS-guided gastrogastrostomy.

Gastrointestinal endoscopy·2018
Same author

Endoscopic ultrasound-guided hepaticogastrostomy and antegrade clearance of biliary lithiasis in patients with surgically-altered anatomy.

Endoscopy international open·2018
Same journal

How important is fiber in the Crohn's disease story?

Gastroenterology·2026
Same journal

Reply to "Critical Appraisal of the Integrin αV-YAP-CTGF Axis in Congestive Hepatopathy".

Gastroenterology·2026
Same journal

Critical Appraisal of the Integrin αV-YAP-CTGF Axis in Congestive Hepatopathy.

Gastroenterology·2026
Same journal

A High-Risk Impaction: To Scope or to Stent First?

Gastroenterology·2026
Same journal

Epithelial FOXP3 Orchestrates O-Glycosylated IL6 Secretion to Drive Pancreatic Fibrocarcinogenesis.

Gastroenterology·2026
Same journal

Reply.

Gastroenterology·2026
See all related articles

Related Experiment Video

Updated: Feb 14, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
04:05

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Published on: August 22, 2025

872

Endoscopic Management of Transmural Defects, Including Leaks, Perforations, and Fistulae.

Willem A Bemelman1, Todd H Baron2

  • 1Department of Surgery, The Academic Medical Center and University of Amsterdam, Amsterdam, The Netherlands.

Gastroenterology
|February 19, 2018
PubMed
Summary
This summary is machine-generated.

Transmural gastrointestinal defects, including leaks, perforations, and fistulae, have distinct causes and management strategies. Endoscopic interventions offer vital, tailored solutions for these conditions, utilizing advanced technology for closure or diversion.

Keywords:
Anastomotic Leak/Surgery, Vacuum Therapy, EndoSPONGEDigestive System Fistula/SurgeryEndoscopy Gastrointestinal/Adverse EffectsEndoscopy Gastrointestinal/MethodsIntestinal Perforation/DiagnosisSuture Techniques/Instrumentation

More Related Videos

Endoscopic Cholesteatoma Surgery
08:47

Endoscopic Cholesteatoma Surgery

Published on: January 19, 2022

13.3K
Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
07:44

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

Published on: March 25, 2022

6.8K

Related Experiment Videos

Last Updated: Feb 14, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
04:05

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Published on: August 22, 2025

872
Endoscopic Cholesteatoma Surgery
08:47

Endoscopic Cholesteatoma Surgery

Published on: January 19, 2022

13.3K
Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
07:44

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

Published on: March 25, 2022

6.8K

Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Endoscopic Therapeutics

Background:

  • Transmural defects of the gastrointestinal tract encompass leaks, perforations, and fistulae.
  • These defects arise from diverse mechanisms, including surgical complications, endoscopic procedures, and specific disease states.
  • Effective management necessitates understanding the underlying cause and appropriate therapeutic strategy.

Purpose of the Study:

  • To review the classification and management of transmural gastrointestinal defects.
  • To highlight the critical role of endoscopic interventions in treating these defects.
  • To discuss the variety of endoscopic approaches and available technologies for tailored treatment.

Main Methods:

  • Classification of transmural defects into leaks, perforations, and fistulae based on etiology.
  • Review of endoscopic management strategies, categorized by closure or diversion.
  • Discussion of technological advancements in endoscopic accessories for treating GI defects.

Main Results:

  • Leaks commonly result from surgery; perforations often follow endoscopic procedures.
  • Fistulae can develop from surgical leaks or specific pathologies.
  • Endoscopic approaches, utilizing advanced devices, are crucial for managing these defects when accessible.

Conclusions:

  • Transmural gastrointestinal defects require distinct management based on their origin.
  • Endoscopic techniques provide essential therapeutic options for leaks, perforations, and fistulae.
  • Technological progress enables tailored endoscopic solutions for complex gastrointestinal defects.