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Gastrointestinal Perforations During Endoscopy: Recognition and Management.
Matthew T Moyer1, Brandon Rodgers1, Rushin Brahmbhatt2
1Division of Gastroenterology and Hepatology, Penn State Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA 17033, USA.
Gastrointestinal Endoscopy Clinics of North America
|March 29, 2026
Summary
Gastrointestinal perforations, caused by endoscopy or disease, require endoscopists to identify and manage them. Various endoscopic tools exist for closure, but collaboration with surgeons is key for complex cases.
Area of Science:
- Gastroenterology and Endoscopy
- Surgical Interventions
Background:
- Gastrointestinal perforations are a potential complication of endoscopic procedures and can arise spontaneously from disease.
- Endoscopic interventions, while beneficial, carry risks including iatrogenic perforation.
- Identifying and managing gastrointestinal perforations is a critical skill for endoscopists.
Purpose of the Study:
- To highlight the importance of endoscopist proficiency in recognizing and managing gastrointestinal perforations.
- To discuss the available endoscopic closure techniques and tools.
- To emphasize the necessity of multidisciplinary collaboration in managing complex perforations.
Main Methods:
- Review of current endoscopic techniques for perforation management.
- Discussion of device innovations for endoscopic closure.
- Emphasis on collaborative decision-making between endoscopists and surgeons.
Main Results:
- A range of endoscopic tools are available for perforation closure, each with specific advantages and disadvantages.
- Endoscopic closure is a viable option for many perforations.
- Multidisciplinary assessment is crucial for determining the optimal management strategy.
Conclusions:
- Endoscopists must be adept at identifying and managing gastrointestinal perforations.
- Advancements in endoscopic technology offer diverse closure options.
- Effective management of gastrointestinal perforations often requires a coordinated approach involving surgical consultation.
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