Management of fistulas in the upper gastrointestinal tract.
Best Pract Res Clin Gastroenterol
; 70: 101929, 2024 Jun.
Article
in En
| MEDLINE
| ID: mdl-39053982
ABSTRACT
Fistulas in the upper gastrointestinal (GI) tract are complex conditions associated with elevated morbidity and mortality. They may arise as a result of inflammatory or malignant processes or following medical procedures, including endoscopic and surgical interventions. The management of upper GI is often challenging and requires a multidisciplinary approach. Accurate diagnosis, including endoscopic and radiological evaluations, is crucial to build a proper and personalized therapeutic plan, that should take into account patient's clinical conditions, time of onset, size, and anatomical characteristics of the defect. In recent years, several endoscopic techniques have been introduced for the minimally invasive management of upper GI fistulas, including through-the-scope and over-the-scope clips, stents, endoscopic suturing, endoluminal vacuum therapy (EVT), tissue adhesives, endoscopic internal drainage. This review aims to discuss and detail the current available endoscopic techniques for the treatment of upper GI fistulas.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Endoscopy, Gastrointestinal
/
Esophageal Fistula
/
Gastric Fistula
/
Upper Gastrointestinal Tract
Limits:
Humans
Language:
En
Journal:
Best Pract Res Clin Gastroenterol
Journal subject:
GASTROENTEROLOGIA
Year:
2024
Document type:
Article
Country of publication:
Netherlands