Abdulfattah Bukhari Majidah, Khashab Mouen A
Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institutions, Baltimore, MD, USA; Division of Medicine and Gastroenterology and Hepatology, International Medical Center, Jeddah 23214, Saudi Arabia.
Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institutions, Baltimore, MD, USA; Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, 1800 Orleans Street, Zayed Building, Suite 7125B, Baltimore, MD 21287, USA.
Gastrointest Endosc Clin N Am. 2020 Jan;30(1):197-208. doi: 10.1016/j.giec.2019.08.008.
Successful closure of gastrointestinal defects is one of the most important goals for therapeutic endoscopy. Historically, surgical repair was the mainstay of treatment for any gastrointestinal defect; however, surgery is associated with high morbidity and mortality. Endoscopic management of gastrointestinal defects has developed rapidly in recent years and has become more effective, reducing the morbidity and mortality rates, and avoiding surgical interventions. Appropriate use of endoscopic techniques requires extensive knowledge of the devices and their advantages and limitations during practical applications.
成功闭合胃肠道缺损是治疗性内镜检查的最重要目标之一。从历史上看，手术修复是治疗任何胃肠道缺损的主要方法；然而，手术伴随着高发病率和死亡率。近年来，胃肠道缺损的内镜治疗发展迅速，且变得更加有效，降低了发病率和死亡率，并避免了手术干预。在内镜技术的实际应用中，恰当使用需要对设备及其优缺点有广泛的了解。
