My approach to managing the acute endoscopic perforation.

PURPOSE OF REVIEW

Acute endoscopic gastrointestinal perforation, a rare but potentially life-threatening complication of endoscopic procedures, presents a significant management challenge. While surgical repair has been the traditional approach, endoscopic closure offers a highly successful, less invasive alternative in select cases.

RECENT FINDINGS

Successful endoscopic management hinges on prompt perforation detection, the early initiation of appropriate antibiotic therapy, and the achievement of a secure and adequate endoscopic closure utilizing well honed technical skills. We comprehensively review various endoscopic closure techniques, including standard through-the-scope clips, over-the-scope clips, dual-action clips, Mantis clips, the Overstitch system, endoscopic through-the-scope suturing systems, and the use of covered metal stents.

SUMMARY

This review aims to equip gastroenterologists with a practical framework for the timely and effective management of acute endoscopic gastrointestinal perforations.