Skip to main content
SpringerLink
Log in

Gestion des complications de l’endoscopie interventionnelle œsophagienne

Management of oesophageal interventional endoscopic complications

  • Dossier Thématique / Thematic File
  • Published:
Acta Endoscopica

Résumé

Les progrès de l’endoscopie interventionnelle oesophagienne permettent de proposer de plus en plus fréquemment des techniques de traitement endoscopique pour des pathologies oesophagiennes, aussi bien dans le domaine des lésions superficielles néoplasiques ou prénéoplasiques que des troubles moteurs ou des sténoses malignes ou bénignes. L’hémorragie immédiate ou retardée et la perforation restent les complications les plus fréquemment observées au cours de ces procédures. Certaines techniques ont des complications plus spécifiques qui doivent être parfaitement connues avant la procédure. Les patients doivent être informés de façon claire de ces risques. Ces risques doivent être anticipés, et surtout l’endoscopiste doit connaître leurs moyens de prise en charge. Plusieurs de ces complications peuvent être actuellement maîtrisées par des moyens médicaux et endoscopiques. Il faut néanmoins aussi connaître les situations nécessitant un recours à la chirurgie.

Abstract

Advances in interventional endoscopy involve more and more frequently the treatment of oesophageal diseases, in early oesophageal cancer, achalasia, or malignant or benign strictures. Bleeding and perforation are the most common complications observed during these proceprocedures. Some specific endoscopic techniques dedicated for complications management should be mastered before the procedure. Patients should be informed about potential complications. These risks must be anticipated. Many of these complications can be currently controlled by medical and endoscopic means. The use of surgical treatment should be recognized when necessary.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Références

  1. Pech O, May A, Gossner L, et al. Curative endoscopic therapy in patients with early esophageal squamous-cell carcinoma or highgrade intraepithelial neoplasia. Endoscopy 2007;39:30–5.

    Article  CAS  PubMed  Google Scholar 

  2. Heresbach D, Kornhauser R, Seyrig JA, et al. A national survey of endoscopic mucosal resection for superficial gastrointestinal neoplasia. Endoscopy 2010;42:806–13.

    Article  CAS  PubMed  Google Scholar 

  3. Ono S, Fujishiro M, Niimi K, et al. Long-term outcomes of endoscopic submucosal dissection for superficial esophageal squamous cell neoplasms. Gastrointest Endosc 2009;70:860–6.

    Article  PubMed  Google Scholar 

  4. Inoue H, Minami H, Kobayashi Y, et al. Peroral endoscopic myotomy (POEM) for esophageal achalasia. Endoscopy 2010;42:265–71.

    Article  CAS  PubMed  Google Scholar 

  5. Canard JM, Debette-Gratien M, Dumas R, et al. A prospective national study on colonoscopy and sigmoidoscopy in 2000 in France. Gastroenterol Clin Biol 2005;29:17–22.

    Article  PubMed  Google Scholar 

  6. Qumseya BJ, Wolfsen C, Wang Y, et al. Factors associated with increased bleeding post-endoscopic mucosal resection. J Dig Dis 2013;14:140–6.

    Article  CAS  PubMed  Google Scholar 

  7. Boustiere C, Veitch A, Vanbiervliet G, et al. Endoscopy and antiplatelet agents. European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy 2011;43:445–61.

    Article  CAS  PubMed  Google Scholar 

  8. Isomoto H, Yamaguchi N, Minami H, et al. Management of complications associated with endoscopic submucosal dissection/endoscopic mucosal resection for esophageal cancer. Dig Endosc 2013;25:29–38.

    Article  PubMed  Google Scholar 

  9. Vanbiervliet G, Bulois P, Nalet B, et al. Évaluation multicentrique et prospective de la mucosectomie et polypectomie endoscopique colorectale sous aspirine (étude OPERA). Journées francophones d’hépatogastroentérologie et d’oncologie digestive 2014.

    Google Scholar 

  10. Choi KD, Jung HY, Lee GH, et al. Application of metal hemoclips for closure of endoscopic mucosal resection-induced ulcers of the stomach to prevent delayed bleeding. Surg Endosc 2008;22:1882–6.

    Article  PubMed  Google Scholar 

  11. Giudicelli R. Les perforations de l’oesophage. Résultat d’une enquête nationale. Ann Chir 1992;46:183–7.

    CAS  PubMed  Google Scholar 

  12. Eisen GM, Baron TH, Dominitz JA, et al. Complications of upper GI endoscopy. Gastrointest Endosc 2002;55:784–93.

    Article  PubMed  Google Scholar 

  13. Paspatis GA, Dumonceau JM, Barthet M, et al. Diagnosis and management of iatrogenic endoscopic perforations: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement. Endoscopy 2014;46:693–711.

    Article  PubMed  Google Scholar 

  14. Fry LC, Monkemuller K, Neumann H, et al. Incidence, clinical management and outcomes of esophageal perforations after endoscopic dilatation. Z Gastroenterol 2007;45:1180–4.

    Article  CAS  PubMed  Google Scholar 

  15. Takahashi H, Arimura Y, Masao H, et al. Endoscopic submucosal dissection is superior to conventional endoscopic resection as a curative treatment for early squamous cell carcinoma of the esophagus (with video). Gastrointest Endosc 2010;72:255–64.

    Article  PubMed  Google Scholar 

  16. Maeda Y, Hirasawa D, Fujita N, et al. A pilot study to assess mediastinal emphysema after esophageal endoscopic submucosal dissection with carbon dioxide insufflation. Endoscopy 2012;44:565–71.

    Article  CAS  PubMed  Google Scholar 

  17. Chuttani R, Barkun A, Carpenter S, et al. Endoscopic clip application devices. Gastrointest Endosc 2006;63:746–50.

    Article  PubMed  Google Scholar 

  18. Banerjee S, Barth BA, Bhat YM, et al. Endoscopic closure devices. Gastrointest Endosc 2012;76:244–51.

    Article  PubMed  Google Scholar 

  19. Kimura T, Takemoto T, Fujiwara Y, et al. Esophageal perforation caused by a fish bone treated with surgically indwelling drainage and fibrin glue injection for fistula formation. Ann Thorac Cardiovasc Surg 2013;19:289–92.

    Article  PubMed  Google Scholar 

  20. Heits N, Stapel L, Reichert B, et al. Endoscopic endoluminal vacuum therapy in esophageal perforation. Ann Thorac Surg 2014;97:1029–35.

    Article  PubMed  Google Scholar 

  21. Eroglu A, Turkyilmaz A, Aydin Y, et al. Current management of esophageal perforation: 20 years experience. Dis Esophagus 2009;22:374–80.

    Article  CAS  PubMed  Google Scholar 

  22. Qadeer MA, Dumot JA, Vargo JJ, et al. Endoscopic clips for closing esophageal perforations: case report and pooled analysis. Gastrointest Endosc 2007;66:605–11.

    Article  PubMed  Google Scholar 

  23. Tuebergen D, Rijcken E, Mennigen R, et al. Treatment of thoracic esophageal anastomotic leaks and esophageal perforations with endoluminal stents: efficacy and current limitations. J Gastrointest Surg 2008;12:1168–76.

    Article  PubMed  Google Scholar 

  24. D’Cunha J, Rueth NM, Groth SS, et al. Esophageal stents for anastomotic leaks and perforations. J Thorac Cardiovasc Surg 2011;142:39–46.

    Article  PubMed  Google Scholar 

  25. Dai Y, Chopra SS, Steinbach M, et al. Esophageal stents for leaks and perforations. Semin Thorac Cardiovasc Surg 2011;23:159–62.

    Article  PubMed  Google Scholar 

  26. Homann N, Noftz MR, Klingenberg-Noftz RD, et al. Delayed complications after placement of self-expanding stents in malignant esophageal obstruction: treatment strategies and survival rate. Dig Dis Sci 2008;53:334–40.

    Article  PubMed  Google Scholar 

  27. Sabharwal T, Gulati MS, Fotiadis N, et al. Randomised comparison of the FerX Ella antireflux stent and the ultraflex stent: proton pump inhibitor combination for prevention of post-stent reflux in patients with esophageal carcinoma involving the esophago-gastric junction. J Gastroenterol Hepatol 2008;23:723–8.

    Article  PubMed  Google Scholar 

  28. Selinger CP, Ellul P, Smith PA, et al. Oesophageal stent insertion for palliation of dysphagia in a District General Hospital: experience from a case series of 137 patients. QJM 2008;101:545–8.

    Article  CAS  PubMed  Google Scholar 

  29. Said A, Brust DJ, Gaumnitz EA, et al. Predictors of early recurrence of benign esophageal strictures. Am J Gastroenterol 2003;98:1252–6.

    Article  PubMed  Google Scholar 

  30. Evrard S, Le Moine O, Lazaraki G, et al. Self-expanding plastic stents for benign esophageal lesions. Gastrointest Endosc 2004;60:894–900.

    Article  PubMed  Google Scholar 

  31. Lewis JJ, Rubenstein JH, Singal AG, et al. Factors associated with esophageal stricture formation after endoscopic mucosal resection for neoplastic Barrett’s esophagus. Gastrointest Endosc 2011;74:753–60.

    Article  PubMed Central  PubMed  Google Scholar 

  32. Giovannini M, Bories E, Pesenti C, et al. Circumferential endoscopic mucosal resection in Barrett’s esophagus with high-grade intraepithelial neoplasia or mucosal cancer. Preliminary results in 21 patients. Endoscopy 2004;36:782–7.

    Article  CAS  PubMed  Google Scholar 

  33. Pouw RE, Wirths K, Eisendrath P, et al. Efficacy of radiofrequency ablation combined with endoscopic resection for barrett’s esophagus with early neoplasia. Clin Gastroenterol Hepatol 2010;8:23–9.

    Article  PubMed  Google Scholar 

  34. Shaheen NJ, Sharma P, Overholt BF, et al. Radiofrequency ablation in Barrett’s esophagus with dysplasia. N Engl J Med 2009;360:2277–88.

    Article  CAS  PubMed  Google Scholar 

  35. Rabenstein T, May A, Michel J, et al. Argon plasma coagulation for flexible endoscopic Zenker’s diverticulotomy. Endoscopy 2007;39:141–5.

    Article  CAS  PubMed  Google Scholar 

  36. Christiaens P, De Roock W, Van Olmen A, et al. Treatment of Zenker’s diverticulum through a flexible endoscope with a transparent oblique-end hood attached to the tip and a monopolar forceps. Endoscopy 2007;39:137–40.

    Article  CAS  PubMed  Google Scholar 

  37. Von Renteln D, Fuchs KH, Fockens P, et al. Peroral endoscopic myotomy for the treatment of achalasia: an international prospective multicenter study. Gastroenterology 2013;145:309–11.

    Article  Google Scholar 

  38. Lee BH, Shim KY, Hong SJ, et al. Peroral endoscopic myotomy for treatment of achalasia: initial results of a korean study. Clin Endosc 2013;46:161–7.

    Article  PubMed Central  PubMed  Google Scholar 

  39. Lesur G, Heresbach D, Arpurt JP, Richard-Molard B. Consensus en endoscopie digestive: hémostase endoscopique des hémorragies digestives hautes. Acta Endoscopica 2012;42:98–103.

    Article  Google Scholar 

  40. Vanbiervliet G, Guidicelli-Bornard S, Piche T, et al. Predictive factors of bleeding related to post-banding ulcer following endocopic variceal ligation in cirrhotic patients: a case-control study. Aliment Pharmacol Ther 2010;32:225–32.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Service d’hépatogastroentérologie et endoscopie digestive, hôpital Ambroise-Paré, Assistance publique–Hôpitaux de Paris, 9, avenue Charles-de-Gaulle, F-92100, Boulogne-Billancourt, France

    C. Lorenceau-Savale

  2. Service d’hépatogastroentérologie et endoscopie digestive, hôpital européen Georges-Pompidou, Assistance publique–Hôpitaux de Paris, Paris, France

    G. Rahmi

Authors
  1. C. Lorenceau-Savale
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. G. Rahmi
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to C. Lorenceau-Savale.

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lorenceau-Savale, C., Rahmi, G. Gestion des complications de l’endoscopie interventionnelle œsophagienne. Acta Endosc 45, 90–98 (2015). https://doi.org/10.1007/s10190-015-0435-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10190-015-0435-z

Mots clés

Keywords

Search

Navigation