scholarly journals Endoscopic perforation during EMR or ESD: who should take care of the patient?

2018 ◽  
Vol 06 (03) ◽  
pp. E313-E314
Author(s):  
Mathieu Pioche ◽  
Gaspard Bertrand ◽  
Jérôme Rivory
Keyword(s):  
Endoscopic Perforation

Endoscopic Perforation of the Esophagus: Treatment and Results

1988 ◽  
pp. 1340-1341
Author(s):  
B. Herman ◽  
J. J. Reiter ◽  
B. C. Manegold ◽  
H. Barth ◽  
H. D. Schoorn
Keyword(s):  
Endoscopic Perforation

Endoscopic perforation of the colon: lessons from a 10-year study

2000 ◽  
Vol 95 (12) ◽  
pp. 3418-3422 ◽  
Author(s):  
Monte L. Anderson ◽  
Tousif M. Pasha ◽  
Jonathan A. Leighton
Keyword(s):  
Endoscopic Perforation

scholarly journals Treatment of endoscopic perforation of the esophagus and hypopharynx.

1990 ◽  
Vol 41 (4) ◽  
pp. 292-299 ◽  
Author(s):  
Kiminori Sato ◽  
Toshiro Kawaguchi ◽  
Hidetaka Matsuoka
Keyword(s):  
Endoscopic Perforation

Treatment of Endoscopic Perforation of the Hypopharynx and Cervical Esophagus

2012 ◽  
Vol 63 (3) ◽  
pp. 231-239 ◽  
Author(s):  
Takeichiro Aso ◽  
Hirohito Umeno ◽  
Hiroki Sano ◽  
Kei Nagata ◽  
Akiteru Maeda ◽  
...  
Keyword(s):  
Cervical Esophagus ◽  
Endoscopic Perforation

scholarly journals A CASE OF ESOPHAGOBRONCHIAL FISTULA CAUSED BY ENDOSCOPIC PERFORATION

1998 ◽  
Vol 59 (10) ◽  
pp. 2550-2554
Author(s):  
Keiji UCHIDE ◽  
Hitoshi SHIOZAKI ◽  
Kentarou MARUYAMA ◽  
Masatomo INOUE ◽  
Masahiko YANO ◽  
...  
Keyword(s):  
Esophagobronchial Fistula ◽  
Endoscopic Perforation

Endoscopic perforation in unsedated patients undergoing endoscopy

1996 ◽  
Vol 83 (6) ◽  
pp. 845-846 ◽  
Author(s):  
J. L. Hedenbro ◽  
M. Ekelund
Keyword(s):  
Endoscopic Perforation

scholarly journals Clinical outcomes of iatrogenic upper gastrointestinal endoscopic perforation: a 10-year study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Dae Hwan Kang ◽  
Dae Gon Ryu ◽  
Cheol Woong Choi ◽  
Hyung Wook Kim ◽  
Su Bum Park ◽  
...  
Keyword(s):  
Endoscopic Submucosal Dissection ◽  
Clinical Outcomes ◽  
Blunt Trauma ◽  
Surgical Management ◽  
Iatrogenic Perforation ◽  
Factors Associated ◽  
Submucosal Dissection ◽  
Endoscopic Closure ◽  
Endoscopic Perforation ◽  
Upper Gastrointestinal

Abstract Background Upper gastrointestinal endoscopic examination is a relatively safe procedure; however, all endoscopic procedures are invasive and are associated with a risk of iatrogenic perforation. To evaluate clinical outcomes of iatrogenic upper gastrointestinal endoscopic perforation. Factors associated with surgical management or mortality were analyzed. Methods Between November 2008 and November 2018, the medical records of 149,792 upper gastrointestinal endoscopic procedures were evaluated. The mechanisms of perforations were categorized as electrocoagulation-induced or blunt trauma-induced injuries. The incidence and clinical outcomes of iatrogenic perforations based on the types of procedures performed were evaluated. Results Iatrogenic endoscopic perforations occurred in 28 cases (0.019%). Iatrogenic perforation-related mortality occurred in 3 patients. The iatrogenic perforation rate based on the types of procedures performed was as follows: diagnostic endoscopy = 0.002%, duodenal endoscopic mucosal resection = 0.9%, esophageal endoscopic submucosal dissection = 10.7%, gastric endoscopic submucosal dissection = 0.2%, endoscopic self-expandable metal stent insertion for malignant esophageal obstruction = 0.1%, duodenoscope-induced injury = 0.02%, endoscopic sphincterotomy = 0.08%, and ampullectomy = 6.8%. All electrocoagulation-induced perforations (n = 21) were managed successfully (15 cases of endoscopic closure, 5 cases treated conservatively, and 1 case treated surgically). Three patients died among those with blunt trauma-induced perforations (n = 7). The factors associated with surgical management or mortality were old age, poor performance status (Eastern Cooperative Oncology Group score ≥ 1), advanced malignancy, and blunt trauma. Conclusions Most cases of electrocoagulation-induced iatrogenic perforations can be treated using endoscopic clips. If endoscopic closure fails for blunt trauma-induced perforations, prompt surgical management is mandatory.

scholarly journals Management laparo endoscopic perforation post ERCP

HPB ◽  
2019 ◽  
Vol 21 ◽  
pp. S552-S553
Author(s):  
C. Bertona
Keyword(s):  
Endoscopic Perforation
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