Clinical Endoscopy

Case Report

Endoscopic Management of Gastrointestinal Leaks and Perforation with Polyglycolic Acid Sheets: Sojung Han, Hyunsoo Chung, Jun Chul Park, Sung Kwan Shin, Sang Kil Lee, Yong Chan Lee; Clin Endosc 2017;50(3):293-296. Published online March 8, 2017; DOI: https://doi.org/10.5946/ce.2016.121

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 anastomotic leak detected after subtotal gastrectomy with gastroduodenostomy. After failed application of endoclips, a PGA sheet was applied, and the fistula was successfully closed. The second case was of a 15-mm large perforated gastric ulcer, which was also successfully closed with a PGA sheet. This is the first case report that PGA sheet was used for the treatment of overt perforation. The outcome of these cases suggest that endoscopic closure using PGA sheets can be considered as a useful alternative for the management of GI leakage, fistulae, and perforations.

Citations

Citations to this article as recorded by

A Randomized Controlled Trial of Fibrin Glue to Prevent Bleeding After Gastric Endoscopic Submucosal Dissection
Hyun Deok Lee, Eunwoo Lee, Sang Gyun Kim, Cheol Min Shin, Jun Chul Park, Kee Don Choi, Seokyung Hahn, Soo-Jeong Cho
American Journal of Gastroenterology.2023; 118(5): 892. CrossRef
Large anastomotic leak: endoscopic treatment using combined fibrin glue and polyglycolic acid (PGA) sheets
Soo In Choi, Ji Young Park
BMJ Case Reports.2021; 14(8): e240188. CrossRef
The treatment for refractory rectovaginal fistula after low anterior resection with estriol, polyglycolic acid sheets and primary closure: A case report
Masatsugu Hiraki, Toshiya Tanaka, Tadayuki Kanai, Takuya Shimamura, Osamu Ikeda, Makio Yasunaga, Shinichi Ogata, Kenji Kitahara
International Journal of Surgery Case Reports.2020; 75: 483. CrossRef
Endoscopic management of esophagorespiratory fistulas
Brian Larson, Douglas G. Adler
Techniques in Gastrointestinal Endoscopy.2019; 21(2): 65. CrossRef
Endoscopic closure of an anastomo-cutaneous fistula: Filling and shielding using polyglycolic acid sheets and fibrin glue with easily deliverable technique
Hideaki Kawabata, Yuji Okazaki, Naonori Inoue, Yukino Kawakatsu, Misuzu Hitomi, Masatoshi Miyata, Shigehiro Motoi
Endoscopy International Open.2018; 06(08): E994. CrossRef
Successful Endoscopic Closure Using Polyglycolic Acid Sheets with Fibrin Glue for Nonhealing Duodenal Ulcer with Perforation after Proton Beam Therapy of Liver Tumor
Ko Watanabe, Takuto Hikichi, Jun Nakamura, Minami Hashimoto, Tadayuki Takagi, Rei Suzuki, Mitsuru Sugimoto, Naoki Konno, Mika Takasumi, Yuki Sato, Hiroki Irie, Takashi Kimura, Akira Kenjo, Shigeru Marubashi, Katsutoshi Obara, Hiromasa Ohira
Case Reports in Gastroenterology.2018; 12(3): 679. CrossRef

8,056 View
223 Download
7 Web of Science
6 Crossref

Original Article

Endoscopic Management of Gastrointestinal Leaks and Bleeding with the Over-the-Scope Clip: A Prospective Study: Mahesh Kumar Goenka, Vijay Kumar Rai, Usha Goenka, Indrajit Kumar Tiwary; Clin Endosc 2017;50(1):58-63. Published online October 31, 2016; DOI: https://doi.org/10.5946/ce.2016.028

Abstract PDF PubReader ePub

Background
/Aims: The over-the-scope clip (OTSC) is a device used for endoscopic closure of perforations, leaks and fistulas, and for endoscopic hemostasis. To evaluate the clinical effectiveness and safety of OTSC.
Methods
Between October 2013 and November 2015, 12 patients underwent OTSC placement by an experienced endoscopist. OTSC was used for the closure of gastrointestinal (GI) leaks and fistula in six patients, three of which were iatrogenic (esophageal, gastric, and duodenal) and three of which were inflammatory. In six patients, OTSC was used for hemostasis of non-variceal upper GI bleeding. Endoscopic tattooing using India ink was used to assist the accurate placement of the clip.
Results
All subjects except one with a colonic defect experienced immediate technical success as well as long-term clinical success, during a mean follow-up of 6 weeks. Only one clip was required to close each of the GI defects and to achieve hemostasis in all patients. There were no misfirings or complications of clips. The procedure was well tolerated, and patients were hospitalized for an average of 8 days (range, 3 to 10). Antiplatelet therapy was continued in patients with GI bleeding.
Conclusions
In our experience, OTSC was safe and effective for the closure of GI defect and to achieve hemostasis of non-variceal GI bleeding.

Citations

Citations to this article as recorded by

Endoscopic self-expandable metal stent versus endoscopy vacuum therapy for traumatic esophageal perforations: a retrospective cohort study
Alessandrino Terceiro de Oliveira, Márcio Alencar Barreira, José Wilson da Cunha Parente Júnior, José Ruver Lima Herculano Junior, Jeany Borges e Silva Ribeiro, Orleancio Gomes Ripardo de Azevedo, Paulo Roberto Cavalcante de Vasconcelos
Surgical Endoscopy.2024; 38(4): 2142. CrossRef
Meta‐analysis: Over‐the‐scope clips in patients at high risk of re‐bleeding following upper gastrointestinal tract bleeding
Kun He, Ke Pang, Lujing Ying, Daiyu Yang, Kai Song, Yangjin Ciren, Xiaxiao Yan, Ziqi Guo, Chengzhen Lyu, Qiang Wang, Dong Wu
Alimentary Pharmacology & Therapeutics.2024; 60(2): 112. CrossRef
Use of over-the-scope clip (OTSC) versus standard therapy for the prevention of rebleeding in large peptic ulcers (size ≥1.5 cm): an open-labelled, multicentre international randomised controlled trial
Shannon Chan, Rapat Pittayanon, Hsiu-Po Wang, Jiann-Hwa Chen, Anthony YB Teoh, Yu Ting Kuo, Raymond SY Tang, Hon Chi Yip, Stephen Ka Kei Ng, Sunny Wong, Joyce Wing Yan Mak, Heyson Chan, Louis Lau, Rashid N Lui, Marc Wong, Rungsun Rerknimitr, Enders K Ng,
Gut.2023; 72(4): 638. CrossRef
Current status in endoscopic management of upper gastrointestinal perforations, leaks and fistulas
Shannon Melissa Chan, Kitty Kit Ying Auyeung, Siu Fung Lam, Philip Wai Yan Chiu, Anthony Yuen Bun Teoh
Digestive Endoscopy.2022; 34(1): 43. CrossRef
The application of endoscopic loop ligation in defect repair following endoscopic full-thickness resection of gastric submucosal tumors originating from the muscularis propria layer
Guoxiang Wang, Yanli Xiang, Yangde Miao, Honggang Wang, Meidong Xu, Guang Yu
Scandinavian Journal of Gastroenterology.2022; 57(1): 119. CrossRef
Gastrointestinal Emergencies and the Role of Endoscopy
Vinod Kumar Dixit, Manoj Kumar Sahu, Vybhav Venkatesh, Varanasi Yugandhar Bhargav, Vinod Kumar, Mayank Bhushan Pateriya, Jayanthi Venkataraman
Journal of Digestive Endoscopy.2022; 13(03): 179. CrossRef
Closure of Gastrointestinal Fistulas and Leaks with the Over-the-Scope Clip: Case-Series Analysis
Abdullah Senlikci, Tahsin Dalgic, Ahmet Alyanak, Erdal Birol Bostanci
Indian Journal of Surgery.2021; 83(6): 1413. CrossRef
Combination Endoscopic Therapy is Effective for Treatment of Nonbariatric Postoperative Gastroenteric Leaks
Nikhil R. Thiruvengadam, Christopher Hamerski, Andrew Nett, Yasser Bhat, Janak Shah, Jona Bernabe, Steven Kane, Kenneth Binmoeller, Rabindra R. Watson
Techniques and Innovations in Gastrointestinal Endoscopy.2021; 23(2): 122. CrossRef
Efficacy of the OTSC System in the treatment of GI bleeding and wall defects: a PMCF meta-analysis
Timo Weiland, Sabrina Rohrer, Arthur Schmidt, Edris Wedi, Peter Bauerfeind, Karel Caca, Mouen A. Khashab, Juergen Hochberger, Franziska Baur, Thomas Gottwald, Marc O. Schurr
Minimally Invasive Therapy & Allied Technologies.2020; 29(3): 121. CrossRef
Long-term assessment of over-the-scope clip (OTSC) behavior after gastric application
Jinlong Hu, Yang Yang, Nan Ge, Sheng Wang, Jintao Guo, Xiang Liu, Guoxin Wang, Siyu Sun
Minimally Invasive Therapy & Allied Technologies.2020; 29(2): 86. CrossRef
Use of the Over the Scope Clip to Close Perforations and Fistulas
Panida Piyachaturawat, Parit Mekaroonkamol, Rungsun Rerknimitr
Gastrointestinal Endoscopy Clinics of North America.2020; 30(1): 25. CrossRef
Clinical efficacy of the over-the-scope clip device: A systematic review
Nicholas Bartell, Krystle Bittner, Vivek Kaul, Truptesh H Kothari, Shivangi Kothari
World Journal of Gastroenterology.2020; 26(24): 3495. CrossRef
Life on a knife edge: the optimal approach to the management of perforations during endoscopic submucosal dissection (ESD)
Shria Kumar, Young Hoon Youn, Jeffrey H. Lee
Expert Review of Gastroenterology & Hepatology.2020; 14(10): 965. CrossRef
Gastrointestinal tract injuries after thermal ablative therapies for hepatocellular carcinoma: A case report and review of the literature
Teresa Marzia Rogger, Andrea Michielan, Sandro Sferrazza, Cecilia Pravadelli, Luisa Moser, Flora Agugiaro, Giovanni Vettori, Sonia Seligmann, Elettra Merola, Marcello Maida, Francesco Antonio Ciarleglio, Alberto Brolese, Giovanni de Pretis
World Journal of Gastroenterology.2020; 26(35): 5375. CrossRef
Fístula broncoesofágica secundaria a aspergilosis pulmonar
Antonio María Caballero-Mateos, Mercedes López de Hierro Ruíz, Eduardo Redondo Cerezo
Revista Colombiana de Gastroenterología.2020; 35(4): 558. CrossRef
Over-the-Scope Clip to the Rescue! A Novel Tool for Refractory Acute Nonvariceal Upper Gastrointestinal Hemorrhage
Shivantha Amarnath, Jobin Philipose, Jeffrey Abergel, Hafiz Khan
Case Reports in Gastroenterology.2020; 14(2): 261. CrossRef
Over‐the‐scope clip system: A review of 1517 cases over 9 years
Hideki Kobara, Hirohito Mori, Noriko Nishiyama, Shintaro Fujihara, Keiichi Okano, Yasuyuki Suzuki, Tsutomu Masaki
Journal of Gastroenterology and Hepatology.2019; 34(1): 22. CrossRef
Over-the-scope-clips as primary and rescue therapy for non-variceal gastrointestinal bleeding: a systematic review and meta-analysis
Andrew Ofosu, Daryl Ramai, Febin John, Mohammed Barakat, Tagore Sunkara, Santosh Sharma, Vinaya Gaduputi, Douglas G. Adler, Madhavi Reddy
Minerva Gastroenterologica e Dietologica.2019;[Epub] CrossRef
Cierre endoscópico de perforaciones y fístulas del tracto digestivo mediante el sistema «Over-the scope clip» (Ovesco), en un centro terciario
G. Mosquera-Klinger, R. Torres-Rincón, J. Jaime-Carvajal
Revista de Gastroenterología de México.2019; 84(2): 263. CrossRef
Endoscopic closure of gastrointestinal perforations and fistulas using the Ovesco Over-The-Scope Clip system at a tertiary care hospital center
G. Mosquera-Klinger, R. Torres-Rincón, J. Jaime-Carvajal
Revista de Gastroenterología de México (English Edition).2019; 84(2): 263. CrossRef
Management of Bleeding from Unresectable Gastric Cancer
Hideaki Kawabata, Misuzu Hitomi, Shigehiro Motoi
Biomedicines.2019; 7(3): 54. CrossRef
Over‐the‐scope clip for acute esophageal variceal bleeding
Carolina Mangas‐Sanjuan, Belén Martínez-Moreno, Maryana Bozhychko, Luis Compañy, Juan Martinez, Francisco Ruiz, Juan Antonio Casellas, José Ramón Aparicio
Digestive Endoscopy.2019; 31(6): 712. CrossRef
Clinical outcomes of over-the-scope-clip system for the treatment of acute upper non-variceal gastrointestinal bleeding: a systematic review and meta-analysis
Chunyu Zhong, Shali Tan, Yutang Ren, Muhan Lü, Yan Peng, Xiangsheng Fu, Xiaowei Tang
BMC Gastroenterology.2019;[Epub] CrossRef
Endoscopic Management with a Novel Over-The-Scope Padlock Clip System
Mahesh Kumar Goenka, Gajanan Ashokrao Rodge, Indrajeet Kumar Tiwary
Clinical Endoscopy.2019; 52(6): 574. CrossRef
Over the Scope Clips for Treatment of Acute Nonvariceal Gastrointestinal Bleeding in Children Are Safe and Effective
Paul Tran, Joshua Carroll, Bradley A. Barth, Nandini Channabasappa, David M. Troendle
Journal of Pediatric Gastroenterology and Nutrition.2018; 67(4): 458. CrossRef
Endoscopic titanium clip closure of gastric fistula after splenectomy: A case report
Jing Yu, Cheng-Ji Zhou, Pan Wang, Shou-Jiang Wei, Jin-Song He, Jin Tang
World Journal of Clinical Cases.2018; 6(15): 1047. CrossRef
New endoscopic techniques in treating gastrointestinal bleeding
Young Sin Cho
International Journal of Gastrointestinal Intervention.2018; 7(3): 131. CrossRef
Over-the-Scope Clip in the Management of Gastrointestinal Defect and Intractable Non-Variceal Bleeding
Hyungkil Kim
Clinical Endoscopy.2017; 50(1): 3. CrossRef
Hémorragies digestives : qui ? quand ? place des nouveaux traitements ?
D. Heresbach, A. Laquière
Acta Endoscopica.2017; 47(5): 281. CrossRef
Over-the-scope clip
Bhanwar Singh Dhandhu, Kumar Shwetanshu Narayan, Surinder Sultania, Sandeep Nijhawan
Journal of Digestive Endoscopy.2016; 07(02): 047. CrossRef

9,908 View
311 Download
32 Web of Science
30 Crossref

Reviews

Endoscopic Closure for Full-Thickness Gastrointestinal Defects: Available Applications and Emerging Innovations: Nobuyoshi Takeshita, Khek Yu Ho; Clin Endosc 2016;49(5):438-443. Published online August 30, 2016; DOI: https://doi.org/10.5946/ce.2016.104

Abstract PDF PubReader ePub

Full-thickness gastrointestinal defects such as perforation, anastomotic leak, and fistula are severe conditions caused by various types of pathologies. They are more likely to require intensive care and a long hospital stay and have high rates of morbidity and mortality. After intentional full-thickness opening of hollow organs for natural orifice transluminal endoscopic surgery, safe and secure closure is urgently required. The currently available advanced endoscopic closing techniques have a major role in the treatment of full-thickness gastrointestinal defects. Appropriate usage of these techniques requires taking into account their advantages and limitations during practical application. We reviewed the available endoscopic modalities, including endoscopic clips, stents, vacuum-assisted closure, gap filling, and suturing devices, discussed their advantages and limitations when treating full-thickness gastrointestinal defects, and explored emerging innovations, including a novel endoluminal surgical platform for versatile suturing and a cell-laden scaffold for effective gap filling. Although these emerging technologies still require further pre-clinical and clinical trials to assess their feasibility and efficacy, the available modalities may be replaced and refined by these new techniques in the near future.

Citations

Citations to this article as recorded by

Injectable nanoengineered adhesive hydrogel for treating enterocutaneous fistulas
Natan Roberto de Barros, Ankit Gangrade, Ahmad Rashad, RunRun Chen, Fatemeh Zehtabi, Menekse Ermis, Natashya Falcone, Reihaneh Haghniaz, Safoora Khosravi, Alejandro Gomez, Shuyi Huang, Marvin Mecwan, Danial Khorsandi, Junmin Lee, Yangzhi Zhu, Bingbing Li,
Acta Biomaterialia.2024; 173: 231. CrossRef
What Is New with Cervical Perforations? A Clinical Review Article
Hope Conrad, Praveen Sridhar
Thoracic Surgery Clinics.2024;[Epub] CrossRef
Successful Endoscopic Vacuum-Assisted Closure Therapy for Esophageal Perforation: A Case Report
Jung Huh, Jinsun Yang, Seung Joo Kang, Hyoun Woo Kang, Hyeon Jong Moon, Su Hwan Kim, Bokyung Kim, Ji Won Kim, Kook Lae Lee, Yong Won Seong, Kwang Woo Kim
The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2024; 24(2): 187. CrossRef
Novel external reinforcement device for gastrointestinal anastomosis in an experimental study
Hiro Hasegawa, Nobuyoshi Takeshita, Woogi Hyon, Suong-Hyu Hyon, Masaaki Ito
BMC Surgery.2023;[Epub] CrossRef
Colon Sparing Endoscopic Full-Thickness Resection for Advanced Colorectal Lesions: Is It Time for Global Adoption?
Zhong-Wei Wu, Chao-Hui Ding, Yao-Dong Song, Zong-Chao Cui, Xiu-Qian Bi, Bo Cheng
Frontiers in Oncology.2022;[Epub] CrossRef
The Etiology, Diagnosis, and Management of Esophageal Perforation
Puja Gaur Khaitan, Amber Famiglietti, Thomas J. Watson
Journal of Gastrointestinal Surgery.2022; 26(12): 2606. CrossRef
Advanced Endoscopic Tools
Eleanor C. Fung
Digestive Disease Interventions.2021; 05(02): 194. CrossRef
Repair of upper-GI fistulas and anastomotic leakage by the use of endoluminal vacuum-assisted closure
Andrew Watson, Tobias Zuchelli
VideoGIE.2019; 4(1): 40. CrossRef
Effect of poly(3-hydroxyalkanoates) as natural polymers on mesenchymal stem cells
Vera Voinova, Garina Bonartseva, Anton Bonartsev
World J Stem Cells.2019; 11(10): 764. CrossRef
Endoscopic Closure of Gastrointestinal Fistulae and Leaks
Jaehoon Cho, Ara B. Sahakian
Gastrointestinal Endoscopy Clinics of North America.2018; 28(2): 233. CrossRef
Non-visible colovesical fistula located by cystoscopy and successfully managed with the novel Padlock® device for endoscopic closure
Benito Velayos, L. Del Olmo, L. Merino, M. Valsero, J. M. González
International Journal of Colorectal Disease.2018; 33(6): 827. CrossRef
Poly(3-hydroxybutyrate) and Human Microbiota (Review)
A. P. Bonartsev, V. V. Voinova, G. A. Bonartseva
Applied Biochemistry and Microbiology.2018; 54(6): 547. CrossRef
Hepatocolic fistula managed with a novel Padlock® device for endoscopic closure
Benito Velayos Jiménez, Lourdes Del Olmo Martínez, Carmen Alonso Martín, Javier Trueba Arguiñarena, José Manuel González Hernández
Revista Española de Enfermedades Digestivas.2017;[Epub] CrossRef
Anastomotic leaks in gastrointestinal surgery and their prevention
Tomasz Banasiewicz, Adam Dziki, Paweł Lampe, Zbigniew Lorenc, Marek Szczepkowski, Jacek Zieliński, Grzegorz Wallner
Polish Journal of Surgery.2017; 89(2): 49. CrossRef

9,702 View
191 Download
11 Web of Science
14 Crossref

Recent Advanced Endoscopic Management of Endoscopic Retrograde Cholangiopancreatography Related Duodenal Perforations: Seon Mee Park; Clin Endosc 2016;49(4):376-382. Published online July 29, 2016; DOI: https://doi.org/10.5946/ce.2016.088

Abstract PDF PubReader ePub

The management strategy for endoscopic retrograde cholangiopancreatography-related duodenal perforation can be determined based on the site and extent of injury, the patient’s condition, and time to diagnosis. Most cases of perivaterian or bile duct perforation can be managed with a biliary stent or nasobiliary drainage. Duodenal wall perforations had been treated with immediate surgical repair. However, with the development of endoscopic devices and techniques, endoscopic closure has been reported to be a safe and effective treatment that uses through-the-scope clips, ligation band, fibrin glue, endoclips and endoloops, an over-the-scope clipping device, suturing devices, covering luminal stents, and open-pore film drainage. Endoscopic therapy could be instituted in selected patients in whom perforation was identified early or during the procedure. Early diagnosis, proper conservative management, and effective endoscopic closure are required for favorable outcomes of non-surgical management. If endoscopic treatment fails, or in the cases of clinical deterioration, prompt surgical management should be considered.

Citations

Citations to this article as recorded by

ERCP-induced perforation: review and revisit after half a century
Abdel Rahman A. A. Al Manasra, Zaid Mesmar, Tarek Manasreh, Hanan M . Hammouri, Anas Husein, Khaled Jadallah, Mohammed Bani hani, Niazy Abu Farsakh, Shatha K. Shahwan, Doaa Al-qaoud, Jehad Fataftah
F1000Research.2024; 12: 612. CrossRef
ERCP-induced perforation: review and revisit after half a century
Abdel Rahman A. A. Al Manasra, Zaid Mesmar, Tarek Manasreh, Hanan M . Hammouri, Anas Husein, Khaled Jadallah, Mohammed Bani hani, Niazy Abu Farsakh, Shatha K. Shahwan, Doaa Al-qaoud, Jehad Fataftah
F1000Research.2023; 12: 612. CrossRef
Fully covered self-expandable metal stent for intraprocedural or late-diagnosed Type-II endoscopic retrograde cholangiopancreatography-related perforations
Osman Bozbiyik, Bartu Cetin, Tufan Gumus, Fatih Tekin, Alper Uguz
BMC Gastroenterology.2022;[Epub] CrossRef
Clinical analysis of 45 cases of perforation were identified during endoscopic retrograde cholangiopancreatography procedure
Yin-Shui Miao, Yuan-Yuan Li, Bo-Wen Cheng, Yan-Fang Zhan, Sheng Zeng, Xiao-Jiang Zhou, You-Xiang Chen, Nong-Hua Lv, Guo-Hua Li
Frontiers in Medicine.2022;[Epub] CrossRef
AGA Clinical Practice Update on Endoscopic Management of Perforations in Gastrointestinal Tract: Expert Review
Jeffrey H. Lee, Prashant Kedia, Stavros N. Stavropoulos, David Carr-Locke
Clinical Gastroenterology and Hepatology.2021; 19(11): 2252. CrossRef
Evaluation of complications after endoscopic retrograde cholangiopancreatography using a short type double balloon endoscope in patients with altered gastrointestinal anatomy: a single‐center retrospective study of 1,576 procedures
Mitsuo Tokuhara, Masaaki Shimatani, Toshiyuki Mitsuyama, Masataka Masuda, Takashi Ito, Sachi Miyamoto, Norimasa Fukata, Hideaki Miyoshi, Tsukasa Ikeura, Makoto Takaoka, Katsuyasu Kouda, Kazuichi Okazaki
Journal of Gastroenterology and Hepatology.2020; 35(8): 1387. CrossRef
Retracted: Endoscopic Treatment of Endoscopic Retrograde Cholangiopancreatography-Related Duodenal Perforations
Ding Shi, Jian feng Yang, Yong pan Liu
Journal of Laparoendoscopic & Advanced Surgical Techniques.2019; 29(3): 385. CrossRef
Duodenal perforation after the cutting an ENPD tube in a patient with pancreatic cancer and acute suppurative pancreatic ductitis
Akihisa OHNO, Nao FUJIMORI, Kazuhide MATSUMOTO, Katsuhito TERAMATSU, Yu TAKAMATSU, Masami MIKI, Takehiro TAKAOKA, Takamasa OONO
Suizo.2019; 34(1): 30. CrossRef
Endoscopic treatment of ERCP-related duodenal perforation
Nicole Evans, James L. Buxbaum
Techniques in Gastrointestinal Endoscopy.2019; 21(2): 83. CrossRef
Endoscopic management of iatrogenic gastrointestinal perforations
Kan Wang, Jihao Shi, Linna Ye
Laparoscopic, Endoscopic and Robotic Surgery.2019; 2(2): 41. CrossRef
The Management of Duodenal Perforation: Change Over Time. A Case Series and Literature Review
Amit Nehra, Rajesh Godara
Hellenic Journal of Surgery.2019; 91(5-6): 159. CrossRef
A Case of Unresolved and Worsening Retroperitoneal Abscess
Raghav Bansal, Mohamed Barakat, Soohwan Chun, Sonam Rosberger, Joel Baum, Melik Tiba
Case Reports in Gastrointestinal Medicine.2018; 2018: 1. CrossRef
On the feasibility of the computational modelling of the endoluminal vacuum-assisted closure of an oesophageal anastomotic leakage
Ester Comellas, Facundo J. Bellomo, Iván Rosales, Luis F. del Castillo, Ricardo Sánchez, Pau Turon, Sergio Oller
Royal Society Open Science.2018; 5(2): 171289. CrossRef
Endoscopic retrograde cholangiopancreatography complications: Techniques to reduce risk and management strategies
Paul R. Tarnasky, Prashant Kedia
International Journal of Gastrointestinal Intervention.2017; 6(1): 37. CrossRef
A systematic review of the management and outcome of ERCP related duodenal perforations using a standardized classification system
Roberto Cirocchi, Michael Denis Kelly, Ewen A. Griffiths, Renata Tabola, Massimo Sartelli, Luigi Carlini, Stefania Ghersi, Salomone Di Saverio
The Surgeon.2017; 15(6): 379. CrossRef

12,057 View
301 Download
14 Web of Science
15 Crossref

First
Prev
Page of 1
Next
Last

Search