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Gastrointestinal leaks and fistulae are serious, potentially life threatening conditions that may occur with a wide variety of clinical presentations By means of endoscopic inspection of. An anastomotic leak occurs when a surgical anastomosis fails and contents of a reconnected body channel leak from the connection
Transmural defects of the gastrointestinal tract can be classified into 3 distinct entities—leak, perforation, and fistula Endoscopy is important for making a diagnosis and for managing anastomotic leakages Each arises from different mechanisms and is managed accordingly
Leaks occur most often after surgery, while perforations occur most often after flexible endoscopic maneuvers
Fistulae arise from a variety of mechanisms, such as an evolution from surgical leaks, as. Gastrointestinal leaks and fistulae can be serious acute complications or chronic morbid conditions resulting from inflammatory, malignant, or postsurgical states Endoscopic closure of gastrointestinal leaks and fistulae represents major progress in the treatment of patients with these complex presentations The main goal of endoscopic therapy is the interruption of the flow of luminal.
Anastomotic leaks represent one of the most dangerous complications after gastrointestinal (gi) surgery The incidence and severity of leaks vary widely among different disease processes, surgical anastomoses, and locations within the gi tract Although gi leaks are rare complications, results can be devastating particularly when a delay in diagnosis or treatment exists Its impact on patients, surgeons, and the healthcare system is tremendous
Efforts to constraint the occurrence and consequences of gi leak contributed to better assessment and management planning, especially with advanced technology
Detail information about the problem extent and new management options became. Efforts to constraint the occurrence and consequences of gi leak contributed to better. Leaks are often diagnosed late because of nonspecific symptoms and suboptimal diagnostic approaches There is no clinically representative.
Anastomotic leakages substantially influence the outcome of patients after major surgery of the upper gastrointestinal tract
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