Management of perforation following stricture dilation.

Matthew J Skinner, Christopher C Thompson

Journal: Minerva chirurgica 2018;72(4):347-360

PMID: 28490171

Full Text on Minerva Medica View on PubMed

Abstract

Strictures can occur along any portions of the gastrointestinal tract for a variety of reasons and are commonly complicated by partial or complete obstruction. Endoscopic management of strictures is common, and generally safe. The most dreaded complication of stricture dilation is perforation due to high morbidity and mortality. The treatment of perforation following stricture dilation is commonly multidisciplinary and should involve gastrointestinal, surgical, and interventional radiology teams. A variety of devices and techniques are available to the endoscopist which now allow for successful endoscopic management of perforation in many cases.

Address: Division of Gastroenterology, Hepatology and Endoscopy, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA.; Division of Gastroenterology, Hepatology and Endoscopy, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA - [email protected].

DOI: 10.23736/S0026-4733.17.07400-4

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MeSH Terms: Anti-Bacterial Agents, Constriction, Pathologic, Dilatation, Emergencies, Endoscopy, Gastrointestinal, Esophageal Perforation, Esophageal Stenosis, Esophagoscopy, Evidence-Based Medicine, Humans, Intestinal Obstruction, Intestinal Perforation, Parenteral Nutrition, Radiology, Interventional, Treatment Outcome