Closing Perforations and Postperforation Management in Endoscopy: Duodenal, Biliary, and Colorectal

Christine Boumitri, Nikhil A. Kumta, Milan Patel, Michel Kahaleh

Research output: Contribution to journalReview articlepeer-review

10 Scopus citations

Abstract

Early recognition of adverse events arising from endoscopy is essential. In some cases the injury can be viewed clearly during the procedure, and immediate action should be taken to repair the defect endoscopically if feasible. If perforation is unclear, imaging can be used to confirm the diagnosis. Surgical intervention is not always necessary; however, a surgical consultation for backup is essential. Selective cases can be managed conservatively or endoscopically with successful outcomes. Early recognition and intervention, input from specialist colleagues, and communication with the patient and family are keys to successfully managing the event.

Original languageEnglish (US)
Pages (from-to)47-54
Number of pages8
JournalGastrointestinal Endoscopy Clinics of North America
Volume25
Issue number1
DOIs
StatePublished - Jan 1 2015
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Gastroenterology

Keywords

  • Closure
  • Endoscopic retrograde cholangiopancreatography
  • Endoscopy
  • Interventional radiology
  • Over-the-scope clips
  • Perforation
  • Surgery
  • Through-the-scope clips

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