Progress in the treatment of iatrogenic gastrointestinal perforation

doi:10.3877/cma.j.issn.2095-7157.2022.01.022

Abstract

Abstract:

With the development of digestive endoscopy technology, endoscopy has become one of the main treatments for digestive tract diseases and iatrogenic digestive tract perforation has also increased accordingly.The treatment methods mainly include conservative treatment, endoscopic treatment and surgical treatment. Based on the progress of medical materials and endoscopic auxiliary instruments, such as metal clips, scaffolds and tissue glue, perforation closure treatment (sealing, covering, drainage) gradually replace surgery as the mainstream treatment method for iatrogenic perforation. This minimally invasive treatment has entered a new era clinically. In this article, treatment and research progress of iatrogenic digestive tract perforation are reviewed.

Key words: Perforation, Endoscopic therapy, Closure technology, Conservative treatment

Yiming Hua, Zhengjuan Li, Hui Ding, Shuangyin Han. Progress in the treatment of iatrogenic gastrointestinal perforation[J]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2022, 09(01): 51-56.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhwcnjdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-7157.2022.01.022

https://zhwcnjdzzz.cma-cmc.com.cn/EN/Y2022/V09/I01/51

References 55

[16]	Minami S, Gotoda T, Ono H，et al. Complete endoscopic closure of gastric perforation induced by endoscopic resection of early gastric cancer using endoclips can prevent surgery (with video)[J]. Gastrointest Endosc，2006，63(4): 596-601.
[17]	李建军，樊超强，柏健鹰. 内镜缝合技术在临床中的应用进展 [J/CD]. 中华胃肠内镜电子杂志，2021，8(2): 80-85.
[18]	凌鑫，朱虹，陈天宝，等. 单钳道内镜下金属夹联合尼龙绳的荷包缝合术[J]. 中华消化内镜杂志，2015，32(11): 764-766.
[19]	孙善明，宋京华，王伟，等. 尼龙绳辅助金属夹在内镜治疗性胃穿孔中的应用[J]. 中国现代医学杂志，2017，27(30): 112-116.
[20]	Yoshida A, Kurumi H, Ikebuchi Y，et al. New Closure Method Using Loop and Open-Close Clips after Endoscopic Submucosal Dissection of Stomach and Colon Lesions[J]. J Clin Med，2021, 10(15): 3260.
[21]	Hernández Mondragón ó V, Gutiérrez-Aguilar R, García Contreras LF，et al. Conventional clips vs over-the-scope-clips for the closure of the entry site in POEM and G-POEM procedures[J]. Rev Esp Enferm Dig，2020，112(5): 338-342.
[22]	Lázár G, Paszt A, Mán E. Role of endoscopic clipping in the treatment of oesophageal perforations[J]. World J Gastrointest Endosc，2016，8(1): 13-22.
[23]	Voermans RP, Le Moine O, Von Renteln D，et al. Efficacy of endoscopic closure of acute perforations of the gastrointestinal tract [J]. Clin Gastroenterol Hepatol，2012，10(6): 603-608.
[24]	Weiland T, Rohrer S, Schmidt A，et al. Efficacy of the OTSC System in the treatment of GI bleeding and wall defects：a PMCF meta-analysis[J]. Minim Invasive Ther Allied Technol，2020, 29(3): 121-139.
[25]	Hagel AF, Naegel A, Lindner AS，et al. Over-the-scope clip application yields a high rate of closure in gastrointestinal perforations and may reduce emergency surgery[J]. J Gastrointest Surg，2012，16(11): 2132-2138.
[26]	Von Renteln D, Vassiliou MC, Rothstein RI. Randomized controlled trial comparing endoscopic clips and over-the-scope clips for closure of natural orifice transluminal endoscopic surgery gastrotomies[J]. Endoscopy，2009，41(12): 1056-1061.
[27]	Goenka MK, Rodge GA, Tiwary IK. Endoscopic Management with a Novel Over-The-Scope Padlock Clip System[J]. Clin Endosc, 2019，52(6): 574-580.
[28]	Armellini E, Crinò SF, Orsello M，et al.Novel endoscopic over-the-scope clip system[J]. World J Gastroenterol，2015, 21(48): 13587-13592.
[29]	金多晨，黄可婷，李璇，等. OverStitch缝合技术在治疗消化道缺损等疾病及内镜减重中的新进展[J]．中华消化杂志，2019, 39(6): 428-432.
[30]	朱俊宇，蔡明琰，周平红，等. 一种新颖的内镜缝合设备在内镜全层切除术后修补消化道缺损的初步应用(含视频)[J]. 中华消化内镜杂志，2016，33(1): 40-44.
[31]	Sharaiha RZ, Kumta NA, Defilippis EM，et al. A Large Multicenter Experience With Endoscopic Suturing for Management of Gastrointestinal Defects and Stent Anchorage in 122 Patients: A Retrospective Review[J]. J Clin Gastroenterol，2016，50(5): 388-392.
[32]	Kantsevoy SV, Bitner M, Hajiyeva G，et al. Endoscopic management of colonic perforations: clips versus suturing closure (with videos)[J]. Gastrointest Endosc，2016，84(3): 487-493.
[33]	Chon SH, Toex U, Plum PS，et al. Efficacy and feasibility of OverStitch suturing of leaks in the upper gastrointestinal tract[J]. Surg Endosc，2020，34(9): 3861-3869.
[34]	Ge PS, Thompson CC.The Use of the Overstitch to Close Perforations and Fistulas[J]. Gastrointest Endosc Clin N Am，2020, 30(1): 147-161.
[35]	Willingham FF, Buscaglia JM.Endoscopic Management of Gastrointestinal Leaks and Fistulae[J]. Clin Gastroenterol Hepatol, 2015，13(10): 1714-1721.
[36]	Law R, Prabhu A, Fujii-Lau L，et al. Stent migration following endoscopic suture fixation of esophageal self-expandable metal stents: a systematic review and meta-analysis[J]. Surg Endosc, 2018，32(2): 675-681.
[37]	Bemelman WA, Baron TH.Endoscopic Management of Transmural Defects，Including Leaks，Perforations，and Fistulae[J]. Gastroenterology，2018，154(7): 1938-1946.
[38]	Wright A, Chang A, Bedi AO，et al. Endoscopic suture fixation is associated with reduced migration of esophageal fully covered self-expandable metal stents (FCSEMS)[J]. Surg Endosc，2017, 31(9): 3489-3494.
[39]	Obaitan I, Dewitt JM, Bick BL，et al. The addition of flexible endoscopic suturing to stenting for the management of transmural esophageal wall defects: a single tertiary center experience[J]. Surg Endosc，2021，35(11): 6379-6389.
[40]	Zimmer V. Gastrointestinal: Utilization of a novel dedicated stent fixation clip device ( "stentfix OTSC" ) for an umbrella-type cardia stent[J]. J Gastroenterol Hepatol，2020，35(9): 1466.
[41]	Van Boeckel PGA, Dua KS, Weusten BLaM, et al. Fully covered self-expandable metal stents (SEMS)，partially covered SEMS and self-expandable plastic stents for the treatment of benign esophageal ruptures and anastomotic leaks[J]. BMC Gastroenterol，2012，12(1): 19-25.
[42]	Spaander MCW, Van Der Bogt RD, Baron TH，et al. Esophageal stenting for benign and malignant disease: European Society of Gastrointestinal Endoscopy (ESGE) Guideline-Update 2021[J]. Endoscopy，2021，53(7): 751-762.
[43]	Jung DH, Yun HR, Lee SJ，et al. Endoscopic Vacuum Therapy in Patients with Transmural Defects of the Upper Gastrointestinal Tract: A Systematic Review with Meta-Analysis[J]. J Clin Med，2021，10(11): 2346-2360.
[44]	Plat VD, Bootsma BT, Van Der Wielen N，et al. Autologous Activated Fibrin Sealant for the Esophageal Anastomosis：A Feasibility Study[J]. J Surg Res，2019，234: 49-53.
[45]	Huang Y, Hu Y, Lin Y，et al. Evaluation of Fibrin Sealant in Prevention of Cervical Anastomotic Leakage After McKeown Esophagectomy: A Single-Center，Retrospective Study[J]. Ann Surg Oncol，2021，28(11): 6390-6397.
[46]	Plat VD, Bootsma BT, Van Der Wielen N，et al. The role of tissue adhesives in esophageal surgery, a systematic review of literature [J]. Int J Surg，2017，40: 163-168.
[47]	Uraoka T, Yunoki S, Kinoshita S，et al. Novel temperature- responsive，biodegradable and injectable collagen sol for the endoscopic closure of colonic perforation holes: Animal study (with videos)[J]. Dig Endosc，2021，33(4): 616-620.
[48]	Kuehn F, Loske G, Schiffmann L，et al. Endoscopic vacuum therapy for various defects of the upper gastrointestinal tract[J]. Surg Endosc，2017，31(9): 3449-3458.
[49]	Do Monte Junior ES, De Moura DTH, Ribeiro IB，et al. Endoscopic vacuum therapy versus endoscopic stenting for upper gastrointestinal transmural defects：Systematic review and meta- analysis[J]. Dig Endosc，2021，33(6): 892-902.
[50]	Zhang CC, Liesenfeld L, Klotz R，et al. Feasibility, effectiveness, and safety of endoscopic vacuum therapy for intrathoracic anastomotic leakage following transthoracic esophageal resection[J]. BMC Gastroenterol，2021，21(1): 72-81.
[51]	Laukoetter MG, Mennigen R, Neumann PA，et al. Successful closure of defects in the upper gastrointestinal tract by endoscopic vacuum therapy (EVT): a prospective cohort study[J]. Surg Endosc，2017，31(6): 2687-2696.
[52]	De Moura DTH, De Moura BFBH, Manfredi MA，et al. Role of endoscopic vacuum therapy in the management of gastrointestinal transmural defects [J]. World J Gastrointest Endosc，2019，11(5): 329-344.
[53]	De Moura DTH, Baptista A, Jirapinyo P，et al. Role of Cardiac Septal Occluders in the Treatment of Gastrointestinal Fistulas: A Systematic Review[J]. Clin Endosc，2020，53(1): 37-48.
[54]	Lee TH, Han JH, Jung Y，et al. Comparison of endoscopic band ligation and endoclip closure of colonic perforation: technical feasibility and efficacy in an ex vivo pig model[J]. Dig Endosc, 2014，26(5): 659-664.
[55]	Yang Y, Lin X, Tan S，et al. Endoscopic Band Ligation Is Able to Close Perforations Caused by Colonoscopy: A Porcine Model Study[J]. Gastroenterol Res Pract，2018，2018: 4325675.
[1]	Piyachaturawat P, Mekaroonkamol P, Rerknimitr R. Use of the Over the Scope Clip to Close Perforations and Fistulas[J]. Gastrointest Endosc Clin N Am，2020，30(1): 25-39.
[2]	Rotondano G．Reducing complications in upper gastrointestinal endoscopy[J]．Expert Rev Gastroenterol Hepatol，2012，6(3): 271- 290.
[3]	Baron TH, Wong Kee Song LM, Zielinski MD，et al.A comprehensive approach to the management of acute endoscopic perforations (with videos)[J]. Gastrointest Endosc，2012，76(4): 838- 859.
[4]	Paspatis GA, Arvanitakis M, Dumonceau JM，et al. Diagnosis and management of iatrogenic endoscopic perforations: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement - Update 2020[J]. Endoscopy，2020，52(9): 792-810.
[5]	刘靖正，周平红，姚礼庆，等．金属止血夹在内镜全层切除术中的应用评价[J]．中华消化内镜杂志，2012，29(2): 69-73.
[6]	郑丽娜，丁辉，王修齐，等. 氩离子凝固术治疗消化道病变导致穿孔并发症13例分析[J/CD]. 中华胃肠内镜电子杂志，2016，3(2): 61-64.
[7]	Kang DH, Ryu DG, Choi CW，et al. Clinical outcomes of iatrogenic upper gastrointestinal endoscopic perforation: a 10-year study[J]. BMC Gastroenterol，2019，19(1): 218.
[8]	Thompson EV, Snyder JR. Recognition and Management of Colonic Perforation following Endoscopy [J]. Clin Colon Rectal Surg，2019，32(3): 183-189.
[9]	Weimann A, Braga M, Carli F，et al. ESPEN practical guideline: Clinical nutrition in surgery[J]. Clin Nutr，2021，40(7): 4745-4761.
[10]	马文聪，张筱凤，楼奇峰，等. 微创保守治疗老年医源性十二指肠穿孔患者的临床应用[J]．中华消化内镜杂志，2020，37(2): 134-136.
[11]	Shin DK, Shin SY, Park CY，et al. Optimal Methods for the Management of Iatrogenic Colonoscopic Perforation[J]．Clin Endosc，2016，49(3): 282-288.
[12]	Fujihara S, Mori H, Kobara H，et al. The efficacy and safety of prophylactic closure for a large mucosal defect after colorectal endoscopic submucosal dissection[J]. Oncol Rep，2013，30(1): 85-90.
[13]	Zhou GYJ, Hu JL, Wang S，et al. Delayed perforation after endoscopic resection of a colonic laterally spreading tumor: A case report and literature review[J]. World J Clin Cases，2020，8(16): 3608-3615.
[14]	Suzuki H, Oda I, Sekiguchi M，et al. Management and associated factors of delayed perforation after gastric endoscopic submucosal dissection[J]. World J Gastroenterol，2015，21(44): 12635-12643.
[15]	Verlaan T, Voermans RP, Van Berge Henegouwen MI，et al. Endoscopic closure of acute perforations of the GI tract: a systematic review of the literature[J]. Gastrointest Endosc，2015，82(4): 618-628.

Please choose a citation manager

Content to export