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Current Treatment Options in Gastroenterology
Published in: Current Treatment Options in Gastroenterology 4/2018

01-12-2018 | Endoscopy (P Siersema, Section Editor)

Endoscopic Full-Thickness Defects and Closure Techniques

Authors: Diogo T. H. de Moura, MD, MSc, PhD, Amit H. Sachdev, MD, Christopher C. Thompson, MD, MHES

Published in: Current Treatment Options in Gastroenterology | Issue 4/2018

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Abstract

Purpose of Review

Gastrointestinal transmural defects are defined as total rupture of the gastrointestinal wall and can be divided into three main categories: perforations, leaks, and fistulas. Due to an increase in the number of therapeutic endoscopic procedures including full-thickness resections and the increase incidence of complications related to bariatric surgeries, there has been an increase in the number of transmural defects seen in clinical practice and the number of non-invasive endoscopic treatment procedures used to treat these defects.

Recent Findings

The variety of endoscopic approaches and devices, including closure techniques using clips, endoloop, and endoscopic sutures; covering techniques such as the cardiac septal occluder device, luminal stents, and tissue sealants; and drainage techniques including endoscopic vacuum therapy, pigtail, and septotomy with balloon dilation are transforming endoscopy as the first-line approach for therapy of these conditions.

Summary

In this review, we describe the various transmural defects and the endoscopic techniques and devices used in their closure.
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Metadata
Title
Endoscopic Full-Thickness Defects and Closure Techniques
Authors
Diogo T. H. de Moura, MD, MSc, PhD
Amit H. Sachdev, MD
Christopher C. Thompson, MD, MHES
Publication date
01-12-2018
Publisher
Springer US
Published in
Current Treatment Options in Gastroenterology / Issue 4/2018
Print ISSN: 1092-8472
Electronic ISSN: 1534-309X
DOI
https://doi.org/10.1007/s11938-018-0199-6

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