Endoscopic Management of Gastrointestinal Fistulae.

Endoscopic Management of Gastrointestinal Leaks and Perforation with Polyglycolic Acid Sheets

Gastrointestinal (GI) leakage, fistulae, and perforations can be serious and life threatening. There has been a paradigm shift in the management approach of these conditions, from surgical to conservative, including endoscopic management. Here, we report two cases of endoscopic closure of a GI fistula and perforation using polyglycolic acid (PGA) sheets with fibrin glue. The first case is of an...

Mediastinal-esophageal fistulae after EUS-FNA of tuberculosis of the mediastinum.

Anastomotic leaks following gastrointestinal surgery: updates on diagnosis and interventions

Gastrointestinal surgery-associated anastomotic leaks and luminal perforations can be life-threatening events with high mortality and morbidity rates. In order to get a favorable outcome, early diagnosis and prompt therapy are necessary. In these conditions, the ‘gold standard’ approach to treatment in the past was surgery. However, surgical procedures are associated with higher re-intervention...

Multipurpose use of the over-the-scope-clip system ("Bear claw") in the gastrointestinal tract: Swiss experience in a tertiary center.

AIM To evaluate the outcome of over-the-scope-clip system (OTSC) for endoscopic treatment of various indications in daily clinical practice in Switzerland. METHODS This prospective, consecutive case series was conducted at a tertiary care hospital from September 2010 to January 2014. Indications for OTSC application were fistulae, anastomotic leakage, perforation, unroofed submucosal lesion f...

Predictive Factors of Gastrointestinal Caustic Injury According to Clinical and Endoscopic Findings

Background: Ingestion of caustic substances is the main reason for referral to Philippines National Poison Management and Control Center among other causes of acute poisoning. Rapid assessment of severity of injury is important for treatment and prognosis of these cases. This study was aimed to investigate the correlation of clinical factors with severity of gastrointestinal (GI) mucosal injury...