Closing perforations and postperforation management in endoscopy: esophagus and stomach.

Stavros N Stavropoulos, Rani Modayil, David Friedel

Journal: Gastrointestinal endoscopy clinics of North America 2015;25(1):29-45

PMID: 25442956

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Abstract

Luminal perforation after endoscopy is a dreaded complication that is associated with significant morbidity and mortality, longer and more costly hospitalization, and the specter of potential future litigation. The management of such perforations requires a multidisciplinary approach. Until recently, surgery was required. However, nowadays the endoscopist has a burgeoning armamentarium of devices and techniques that may obviate surgery. This article discusses the approach to endoscopic perforations in the esophagus and stomach.

Address: Department of Gastroenterology, Hepatology and Nutrition, Winthrop University Hospital, 222 Station Plaza North, Suite 429, Mineola, NY 11501, USA. Electronic address: [email protected].; Department of Gastroenterology, Hepatology and Nutrition, Winthrop University Hospital, 222 Station Plaza North, Suite 429, Mineola, NY 11501, USA.

DOI: 10.1016/j.giec.2014.09.008

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MeSH Terms: Endoscopy, Gastrointestinal, Esophageal Perforation, Humans, Intestinal Perforation, Stents, Stomach, Surgical Instruments, Wound Closure Techniques