Download PDF
Digestive Disease Interventions 2021; 05(02): 194-198
DOI: 10.1055/s-0041-1729765
Special Communication

Advanced Endoscopic Tools

Eleanor C. Fung
1   Department of Surgery, Jacobs School of Medicine and Biomedical Sciences, The State University of New York at Buffalo, Buffalo, New York
› Author Affiliations
› Further Information
Also available at
    Permissions and Reprints

Abstract

The advent and success of therapeutic endoscopy has expanded the utilization of endoscopy as an effective alternative to surgical intervention in some cases with decreased morbidity, improved outcomes, and shortened length of hospital stay. Gastrointestinal bleeding, perforations, leaks, fistulas, and strictures have become increasingly managed by endoscopy with the evolution and development of endoscopic tools for effective closure of full-thickness gastrointestinal defects, dilation, and hemostasis. This article reviews the characteristics and role of endoscopic clips, stents, dilation balloons, endoscopic knives, and suturing devices.

Keywords

clips - stents - tools


Publication History

Received: 19 January 2020

Accepted: 15 March 2021

Article published online:
08 May 2021

© 2021. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Carrott Jr PW, Low DE. Advances in the management of esophageal perforation. Thorac Surg Clin 2011; 21 (04) 541-555
    CrossrefPubMedGoogle Scholar
  • 2 Raju GS. Endoscopic clip closure of gastrointestinal perforations, fistulae, and leaks. Dig Endosc 2014; 26 (01) (Suppl. 01) 95-104
    CrossrefPubMedGoogle Scholar
  • 3 Baron TH, Wong Kee Song LM, Zielinski MD, Emura F, Fotoohi M, Kozarek RA. A comprehensive approach to the management of acute endoscopic perforations (with videos). Gastrointest Endosc 2012; 76 (04) 838-859
    CrossrefPubMedGoogle Scholar
  • 4 Magdeburg R, Collet P, Post S, Kaehler G. Endoclipping of iatrogenic colonic perforation to avoid surgery. Surg Endosc 2008; 22 (06) 1500-1504
    CrossrefPubMedGoogle Scholar
  • 5 Cho SB, Lee WS, Joo YE. et al. Therapeutic options for iatrogenic colon perforation: feasibility of endoscopic clip closure and predictors of the need for early surgery. Surg Endosc 2012; 26 (02) 473-479
    CrossrefPubMedGoogle Scholar
  • 6 Takeshita N, Ho KY. Endoscopic closure for full-thickness gastrointestinal defects: available applications and emerging innovations. Clin Endosc 2016; 49 (05) 438-443
    CrossrefPubMedGoogle Scholar
  • 7 Rogalski P, Daniluk J, Baniukiewicz A, Wroblewski E, Dabrowski A. Endoscopic management of gastrointestinal perforations, leaks and fistulas. World J Gastroenterol 2015; 21 (37) 10542-10552
    CrossrefPubMedGoogle Scholar
  • 8 Voermans RP, Vergouwe F, Breedveld P, Fockens P, van Berge Henegouwen MI. Comparison of endoscopic closure modalities for standardized colonic perforations in a porcine colon model. Endoscopy 2011; 43 (03) 217-222
    Article in Thieme ConnectPubMedGoogle Scholar
  • 9 Mennigen R, Senninger N, Laukoetter MG. Novel treatment options for perforations of the upper gastrointestinal tract: endoscopic vacuum therapy and over-the-scope clips. World J Gastroenterol 2014; 20 (24) 7767-7776
    CrossrefPubMedGoogle Scholar
  • 10 Schmidt A, Gölder S, Goetz M. et al. Over-the-scope clips are more effective than standard endoscopic therapy for patients with recurrent bleeding of peptic ulcers. Gastroenterology 2018; 155 (03) 674-686.e6
    CrossrefPubMedGoogle Scholar
  • 11 Josino IR, Madruga-Neto AC, Ribeiro IB. et al. Endoscopic dilation with bougies versus balloon dilation in esophageal benign strictures: systematic review and meta-analysis. Gastroenterol Res Pract 2018; 2018: 5874870
    CrossrefPubMedGoogle Scholar
  • 12 McGaw C, Alkaddour A, Vega KJ, Munoz JC. Stent type used does not impact complication rate or placement time but can decrease treatment cost for benign and malignant esophageal lesions. World J Gastrointest Endosc 2016; 8 (07) 338-343
    CrossrefPubMedGoogle Scholar
  • 13 Walter D, van den Berg MW, Hirdes MM. et al. Dilation or biodegradable stent placement for recurrent benign esophageal strictures: a randomized controlled trial. Endoscopy 2018; 50 (12) 1146-1155
    Article in Thieme ConnectPubMedGoogle Scholar
  • 14 Fuccio L, Hassan C, Frazzoni L, Miglio R, Repici A. Clinical outcomes following stent placement in refractory benign esophageal stricture: a systematic review and meta-analysis. Endoscopy 2016; 48 (02) 141-148
    PubMedGoogle Scholar
  • 15 van Boeckel PG, Dua KS, Weusten BL. et al. Fully covered self-expandable metal stents (SEMS), partially covered SEMS and self-expandable plastic stents for the treatment of benign esophageal ruptures and anastomotic leaks. BMC Gastroenterol 2012; 12: 19
    CrossrefPubMedGoogle Scholar
  • 16 Vanbiervliet G, Filippi J, Karimdjee BS. et al. The role of clips in preventing migration of fully covered metallic esophageal stents: a pilot comparative study. Surg Endosc 2012; 26 (01) 53-59
    CrossrefPubMedGoogle Scholar
  • 17 van Heel NC, Haringsma J, Spaander MC, Bruno MJ, Kuipers EJ. Short-term esophageal stenting in the management of benign perforations. Am J Gastroenterol 2010; 105 (07) 1515-1520
    CrossrefPubMedGoogle Scholar
  • 18 Swinnen J, Eisendrath P, Rigaux J. et al. Self-expandable metal stents for the treatment of benign upper GI leaks and perforations. Gastrointest Endosc 2011; 73 (05) 890-899
    CrossrefPubMedGoogle Scholar
  • 19 Dai Y, Chopra SS, Steinbach M, Kneif S, Hünerbein M. Esophageal stents for leaks and perforations. Semin Thorac Cardiovasc Surg 2011; 23 (02) 159-162
    CrossrefPubMedGoogle Scholar
  • 20 Kantsevoy SV, Thuluvath PJ. Successful closure of a chronic refractory gastrocutaneous fistula with a new endoscopic suturing device (with video). Gastrointest Endosc 2012; 75 (03) 688-690
    CrossrefPubMedGoogle Scholar
  • 21 Goenka MK, Goenka U. Endotherapy of leaks and fistula. World J Gastrointest Endosc 2015; 7 (07) 702-713
    CrossrefPubMedGoogle Scholar
  • 22 Bechara R, Inoue H. Recent advancement of therapeutic endoscopy in the esophageal benign diseases. World J Gastrointest Endosc 2015; 7 (05) 481-495
    CrossrefPubMedGoogle Scholar