학술논문
Digestive perforations related to endoscopy procedures: a local management charter based on local evidence and experts’ opinion
Document Type
article
Author
Gaspard Bertrand; Jérôme Rivory; Maud Robert; Jean-Christophe Saurin; Élise Pelascini; Olivier Monneuse; Laurent Gruner; Gilles Poncet; Pierre-Jean Valette; Hélène Gimonet; Florian Rostain; Charles-Éric Ber; Yves Bouffard; André Boibieux; Marina Ciochina; Verena Landel; Hélène Boyer; Jérémie Jacques; Thierry Ponchon; Mathieu Pioche
Source
Endoscopy International Open, Vol 10, Iss 04, Pp E328-E341 (2022)
Subject
Language
English
ISSN
2364-3722
2196-9736
2196-9736
Abstract
Background and study aims Perforations are a known adverse event of endoscopy procedures; a proposal for appropriate management should be available in each center as recommended by the European Society of Gastrointestinal Endoscopy. The objective of this study was to establish a charter for the management of endoscopic perforations, based on local evidence. Patients and methods Patients were included if they experienced partial or complete perforation during an endoscopic procedure between 2008 and 2018 (retrospectively until 2016, then prospectively). Perforations (size, location, closure) and management (imagery, antibiotics, surgery) were analyzed. Using these results, a panel of experts was asked to propose a consensual management charter. Results A total of 105 patients were included. Perforations occurred mainly during therapeutic procedures (91, 86.7%). Of the perforations, 78 (74.3 %) were diagnosed immediately and managed during the procedure; 69 of 78 (88.5 %) were successfully closed. Closures were more effective during therapeutic procedures (60 of 66, 90.9 %) than during diagnostic procedures (9 of 12, 75.0 %, P = 0.06). Endoscopic closure was effective for 37 of 38 perforations (97.4 %)