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Endoscopic Management of Procedure-Related Bleeding and Perforation

  • Chapter
GI Endoscopic Emergencies

Abstract

Bleeding and perforation are procedure-related adverse events for which endoscopic intervention in appropriate circumstances can result in a good clinical outcome. Several endoscopic devices, including through-the-scope and over-the-scope clips, endoscopic suturing, and covered stents, can be used alone or in combination to manage procedure-related bleeding and perforation. Prompt recognition of adverse events, excellent supportive care, device availability, and operator experience are among the key determinants for a successful endoscopic outcome. Minimally invasive endoscopic management offers the potential for faster recovery and at a lower cost compared to traditional surgical approaches.

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Authors and Affiliations

  1. Digestive Endoscopy Unit, Department of Gastroenterology, Instituto Clinico Humanitas, Milan, Italy

    Alessandro Repici & Angelo Zullo

  2. Gastroenterology and Digestive Endoscopy, Nuovo Regina Margherita Hospital, Via Manzoni 56, Rozzano, Rome, Italy

    Alessandro Repici, Andrea Anderloni & Cesare Hassan

Authors
  1. Alessandro Repici
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  2. Angelo Zullo
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  3. Andrea Anderloni
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  4. Cesare Hassan
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Corresponding author

Correspondence to Alessandro Repici .

Editor information

Editors and Affiliations

  1. Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA

    Louis M. Wong Kee Song

  2. Medical College of Wisconsin-Green Bay Campus, Prevea Center for Digestive Health, Green Bay, Wisconsin, USA

    Emmanuel C. Gorospe

  3. Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, North Carolina, USA

    Todd H. Baron

Electronic Supplementary Material

Below is the link to the electronic supplementary material.

Application of dedicated hemostatic forceps for intra-procedural EMR-induced active bleeding (MP4 14246 kb)

Over-the-scope clip placement for EMR-induced recurrent delayed bleeding (MP4 14114 kb)

Over-the-scope clip closure of EMR-induced deep defect (MP4 28329 kb)

Self-expandable metal stent placement for management of a dilation-induced esophageal perforation (MP4 38651 kb)

Nonsurgical management of Boerhaave syndrome with endoscopic suturing and stent placement (MP4 64878 kb)

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© 2016 Springer Science+Business Media New York

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Repici, A., Zullo, A., Anderloni, A., Hassan, C. (2016). Endoscopic Management of Procedure-Related Bleeding and Perforation. In: Wong Kee Song, L., Gorospe, E., Baron, T. (eds) GI Endoscopic Emergencies. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-3085-2_19

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  • DOI: https://doi.org/10.1007/978-1-4939-3085-2_19

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-3084-5

  • Online ISBN: 978-1-4939-3085-2

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