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My approach to managing the acute endoscopic perforation
Kasenee Tiankanon1,2, Saowanee Ngamruengphong1
1Division of Gastroenterology and Hepatology, Johns Hopkins University, Baltimore, Maryland, USA.
Current Opinion in Gastroenterology
|June 4, 2025
Summary
Endoscopic gastrointestinal perforation requires prompt detection and treatment. Endoscopic closure techniques offer a less invasive, highly successful alternative to surgery for select cases.
Area of Science:
- Gastroenterology
- Endoscopic Surgery
Background:
- Acute endoscopic gastrointestinal perforation is a rare but serious complication.
- Surgical repair is traditional, but endoscopic closure is a viable alternative.
Purpose of the Study:
- To provide a framework for managing acute endoscopic gastrointestinal perforations.
- To review current endoscopic closure techniques.
Main Methods:
- Comprehensive review of endoscopic closure techniques.
- Analysis of factors critical for successful endoscopic management.
Main Results:
- Successful management depends on early detection, antibiotics, and skilled endoscopic closure.
- Techniques include various clips, suturing systems, and stents.
Conclusions:
- Endoscopic closure is a highly successful, less invasive option.
- Equipping gastroenterologists with a practical management framework is essential.
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