Skinner Matthew J, Thompson Christopher C
Division of Gastroenterology, Hepatology and Endoscopy, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA.
Division of Gastroenterology, Hepatology and Endoscopy, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA -
Minerva Chir. 2017 Aug;72(4):347-360. doi: 10.23736/S0026-4733.17.07400-4. Epub 2017 May 8.
Strictures can occur along any portions of the gastrointestinal tract for a variety of reasons and are commonly complicated by partial or complete obstruction. Endoscopic management of strictures is common, and generally safe. The most dreaded complication of stricture dilation is perforation due to high morbidity and mortality. The treatment of perforation following stricture dilation is commonly multidisciplinary and should involve gastrointestinal, surgical, and interventional radiology teams. A variety of devices and techniques are available to the endoscopist which now allow for successful endoscopic management of perforation in many cases.
由于多种原因，胃肠道的任何部位都可能出现狭窄，并且通常会并发部分或完全梗阻。内镜下处理狭窄很常见，而且一般是安全的。狭窄扩张最可怕的并发症是穿孔，因为其发病率和死亡率都很高。狭窄扩张后穿孔的治疗通常需要多学科协作，应包括胃肠科、外科和介入放射科团队。内镜医师可以使用多种设备和技术，现在在许多情况下都能成功地通过内镜处理穿孔。
