Open AccessNew devices and techniques for endoscopic closure of gastrointestinal perforations
Author(s) -
Yue Li,
Jianhua Wu,
Yan Meng,
Qiang Zhang,
Wei Gong,
Side Liu
Publication year - 2016
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v22.i33.7453
Subject(s) - medicine , perforation , closure (psychology) , clinical practice , surgery , endoscopy , intensive care medicine , punching , family medicine , economics , market economy , materials science , metallurgy
Gastrointestinal perforations, which need to be managed quickly, are associated with high morbidity and mortality. Treatments used to close these perforations range from surgery to endoscopic therapy. Nowadays, with the development of new devices and techniques, endoscopic therapy is becoming more popular. However, there are different indications and clinical efficacies between different methods, because of the diverse properties of endoscopic devices and techniques. Successful management also depends on other factors, such as the precise location of the perforation, its size and the length of time between the occurrence and diagnosis. In this study, we performed a comprehensive review of various devices and introduced the different techniques that are considered effective to treat gastrointestinal perforations. In addition, we focused on the different methods used to achieve successful closure, based on the literature and our clinical experiences.