Li Yue, Wu Jian-Hua, Meng Yan, Zhang Qiang, Gong Wei, Liu Si-De
Yue Li, Jian-Hua Wu, Yan Meng, Qiang Zhang, Wei Gong, Si-De Liu, Department of Gastroenterology, Guangdong Provincial Key Laboratory of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, Guangdong Province, China.
World J Gastroenterol. 2016 Sep 7;22(33):7453-62. doi: 10.3748/wjg.v22.i33.7453.
Gastrointestinal perforations, which need to be managed quickly, are associated with high morbidity and mortality. Treatments used to close these perforations range from surgery to endoscopic therapy. Nowadays, with the development of new devices and techniques, endoscopic therapy is becoming more popular. However, there are different indications and clinical efficacies between different methods, because of the diverse properties of endoscopic devices and techniques. Successful management also depends on other factors, such as the precise location of the perforation, its size and the length of time between the occurrence and diagnosis. In this study, we performed a comprehensive review of various devices and introduced the different techniques that are considered effective to treat gastrointestinal perforations. In addition, we focused on the different methods used to achieve successful closure, based on the literature and our clinical experiences.
需要迅速处理的胃肠道穿孔与高发病率和死亡率相关。用于闭合这些穿孔的治疗方法从手术到内镜治疗不等。如今，随着新设备和技术的发展，内镜治疗越来越受欢迎。然而，由于内镜设备和技术的特性不同，不同方法之间存在不同的适应症和临床疗效。成功的处理还取决于其他因素，如穿孔的精确位置、大小以及发生与诊断之间的时间长度。在本研究中，我们对各种设备进行了全面综述，并介绍了被认为对治疗胃肠道穿孔有效的不同技术。此外，基于文献和我们的临床经验，我们重点关注了用于实现成功闭合的不同方法。
