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Minerva Chirurgica 2017 August;72(4):347-60

DOI: 10.23736/S0026-4733.17.07400-4

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Management of perforation following stricture dilation

Matthew J. SKINNER, Christopher C., THOMPSON

Division of Gastroenterology, Hepatology and Endoscopy, Department of Medicine, Brigham and Women’s Hospital, Boston, MA, USA


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Strictures can occur along any portions of the gastrointestinal tract for a variety of reasons and are commonly complicated by partial or complete obstruction. Endoscopic management of strictures is common, and generally safe. The most dreaded complication of stricture dilation is perforation due to high morbidity and mortality. The treatment of perforation following stricture dilation is commonly multidisciplinary and should involve gastrointestinal, surgical, and interventional radiology teams. A variety of devices and techniques are available to the endoscopist which now allow for successful endoscopic management of perforation in many cases.


KEY WORDS: Constriction, pathologic - Endoscopy - Dilatation

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