Closure of Defects and Management of Complications.

Gottumukkala Subba Raju

Journal: Gastrointestinal endoscopy clinics of North America 2020;29(4):705-719

PMID: 31445692

Full Text on Elsevier Science View on PubMed

Abstract

Large and complex colon polyps are frequently referred to surgery for fear of perforation that may need emergency surgery. During the last 15 years, advances in clip and suturing devices allowed us to close perforations and avoid surgery. In addition, we have made substantial progress in our understanding of the lesions at risk for either immediate or delayed perforation. This article focuses on the colonoscopic closure of resection defects and perforations and the prevention and treatment of colon perforations after endoscopic resection.

Address: Department of Gastroenterology, Hepatology & Nutrition, The University of Texas MD Anderson Cancer Center, Unit 1466, 1515 Holcombe Boulevard, Houston, TX 77030, USA. Electronic address: [email protected].

DOI: 10.1016/j.giec.2019.06.005

Link outs

Free resources

Medical:

https://medlineplus.gov/colorectalcancer.html

Subscription / membership required

Full Text Sources:

MeSH Terms: Aged, Colonoscopes, Colonoscopy, Colorectal Neoplasms, Female, Humans, Iatrogenic Disease, Intestinal Perforation, Intraoperative Complications, Male, Middle Aged, Prognosis, Surgical Instruments, Suture Techniques, Wound Closure Techniques