Raju Gottumukkala Subba
Department of Gastroenterology, Hepatology & Nutrition, The University of Texas MD Anderson Cancer Center, Unit 1466, 1515 Holcombe Boulevard, Houston, TX 77030, USA.
Gastrointest Endosc Clin N Am. 2019 Oct;29(4):705-719. doi: 10.1016/j.giec.2019.06.005. Epub 2019 Jul 31.
Large and complex colon polyps are frequently referred to surgery for fear of perforation that may need emergency surgery. During the last 15 years, advances in clip and suturing devices allowed us to close perforations and avoid surgery. In addition, we have made substantial progress in our understanding of the lesions at risk for either immediate or delayed perforation. This article focuses on the colonoscopic closure of resection defects and perforations and the prevention and treatment of colon perforations after endoscopic resection.
大型复杂结肠息肉常因担心可能需要急诊手术的穿孔而被转诊至外科。在过去15年中，夹子和缝合设备的进步使我们能够闭合穿孔并避免手术。此外，我们在了解有立即或延迟穿孔风险的病变方面取得了重大进展。本文重点关注结肠镜下切除缺损和穿孔的闭合以及内镜切除术后结肠穿孔的预防和治疗。
