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Gastrointestinal fistula endoscopic closure techniques.

Abhishek Bhurwal¹, Hemant Mutneja², Augustine Tawadross¹

¹Department of Gastroenterology, Rutgers Robert Wood Johnson School of Medicine, New Brunswick, NJ (Abhishek Bhurwal, Augustine Tawadross, Lauren Pioppo).

Annals of Gastroenterology

|November 9, 2020

Summary

Endoscopic therapies offer a less invasive alternative to surgery for gastrointestinal fistulas. This review details various endoscopic techniques, their efficacy, and potential complications for managing these complex conditions.

Keywords:

Gastrointestinal fistula endoscopy leak stent suturing technique

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Area of Science:

Gastroenterology
Minimally Invasive Surgery

Background:

Gastrointestinal fistulas often require surgical intervention.
Advancements in endoscopic technology provide new therapeutic options.

Purpose of the Study:

To review current endoscopic techniques for managing gastrointestinal fistulas.
To elaborate on indications, evidence, procedural details, efficacy, and complications.

Main Methods:

Literature review of endoscopic therapies for gastrointestinal fistulas.
Analysis of techniques including stents, suturing, occluders, endo-sponge, and vacuum therapy.

Main Results:

Endoscopic therapies are increasingly utilized, offering alternatives to surgery.
Various techniques demonstrate efficacy with specific indications and complication profiles.

Conclusions:

Improved endoscopic devices allow for successful management of gastrointestinal fistulas.
Endoscopic approaches provide viable, less invasive treatment options.