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Endoscopic treatment of upper gastrointestinal postsurgical leaks: a narrative review
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Renato Medas, Eduardo Rodrigues-Pinto
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Clin Endosc 2023;56(6):693-705. Published online July 3, 2023
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DOI: https://doi.org/10.5946/ce.2023.043
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Abstract
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- Upper gastrointestinal postsurgical leaks are life-threatening conditions with high mortality rates and are one of the most feared complications of surgery. Leaks are challenging to manage and often require radiological, endoscopic, or surgical intervention. Steady advancements in interventional endoscopy in recent decades have allowed the development of new endoscopic devices and techniques that provide a more effective and minimally invasive therapeutic option compared to surgery. Since there is no consensus regarding the most appropriate therapeutic approach for managing postsurgical leaks, this review aimed to summarize the best available current data. Our discussion specifically focuses on leak diagnosis, treatment aims, comparative endoscopic technique outcomes, and combined multimodality approach efficacy.
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Citations
Citations to this article as recorded by 
- Intravaginal endoscopic vacuum therapy of a rectovaginal fistula: expanding boundaries
Renato Medas, Guilherme Macedo, Eduardo Rodrigues-Pinto Endoscopy.2025; 57(S 01): E30. CrossRef - Post-Surgical Leaks of the Upper Digestive Tract – The Importance of an Early Endoscopic Approach
I Tarrio, A Andrade, A R Ribeiro, M Moreira, T Araújo, L Lopes Endoscopy.2025; 57(S 02): S298. CrossRef - Endoscopic vacuum therapy for gastrointestinal transmural defects: a literature review
Tan Minh Le, Van Huy Tran, Kyu Sung Chung, Seong Woo Jeon Clinical Endoscopy.2025; 58(2): 181. CrossRef - RESULTS OF THE APPLICATION OF ENDOSURGICAL TECHNOLOGIES IN THE DIAGNOSIS AND TREATMENT OF EARLY INTRAABDOMINAL COMPLICATIONS IN POSTOPERATIVE PERIOD
I. A. Yusubov, E. Y. Sharifov World of Medicine and Biology.2024; 20(89): 184. CrossRef
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