Endoscopic Closure of Gastrointestinal Fistulae and Leaks

Jaehoon Cho; Ara B Sahakian

doi:10.1016/j.giec.2017.11.010

Endoscopic Closure of Gastrointestinal Fistulae and Leaks

Gastrointest Endosc Clin N Am. 2018 Apr;28(2):233-249. doi: 10.1016/j.giec.2017.11.010. Epub 2018 Feb 1.

Authors

Jaehoon Cho¹, Ara B Sahakian²

Affiliations

¹ Department of Internal Medicine, Los Angeles County and University of Southern California Medical Center, 2020 Zonal Avenue, IRD 620, Los Angeles, CA 90033, USA.
² Division of Gastrointestinal and Liver Diseases, University of Southern California Keck School of Medicine, 1510 San Pablo Street, Los Angeles, CA 90033, USA. Electronic address: Arasahak@med.usc.edu.

PMID: 29519335
DOI: 10.1016/j.giec.2017.11.010

Abstract

The development of new endoscopic techniques, such as gastrointestinal (GI) stenting, full-thickness suturing, clip application, and use of tissue adhesives, has had a significant impact on management of GI fistulae. These techniques have shown promising results, but further study is needed to optimize the efficacy of long-term closure. The advancement of endoscopic techniques, including the use of the lumen apposing metal stent (LAMS), has allowed for the deliberate creation of fistula tracts to apply endoscopic therapy that previously could not be achieved. This article examines the rapidly evolving area of endoscopic fistula closure and its relationship to LAMS.

Keywords: Fistula; Leak; Lumen-apposing metal stent.

Publication types

Review

MeSH terms

Anastomotic Leak / diagnostic imaging
Anastomotic Leak / therapy*
Digestive System Fistula / diagnostic imaging
Digestive System Fistula / therapy*
Endoscopy, Gastrointestinal / instrumentation
Endoscopy, Gastrointestinal / methods*
Humans
Prosthesis Implantation / methods
Stents
Surgical Instruments
Suture Techniques
Tissue Adhesives / administration & dosage

Substances

Tissue Adhesives