Management of fistulas in the upper gastrointestinal tract

Fistulas in the upper gastrointestinal (GI) tract are complex conditions associated with elevated morbidity and mortality. They may arise as a result of inflammatory or malignant processes or following medical procedures, including endoscopic and surgical interventions. The management of upper GI is...

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Bibliographic Details
Published in:Baillière's best practice & research. Clinical gastroenterology 2024-06, Vol.70, p.101929, Article 101929
Main Authors: Matteo, Maria Valeria, Birligea, Maria Mihaela, Bove, Vincenzo, Pontecorvi, Valerio, De Siena, Martina, Gualtieri, Loredana, Barbaro, Federico, Spada, Cristiano, Boškoski, Ivo
Format: Article
Language:English
Subjects:
Drainage - instrumentation
Drainage - methods
Endoscopic treatment
Endoscopy
Endoscopy, Gastrointestinal - methods
Esophageal Fistula - diagnostic imaging
Esophageal Fistula - surgery
Esophageal Fistula - therapy
Fistula
Gastric Fistula - surgery
Gastric Fistula - therapy
Humans
Stents
Treatment Outcome
Upper gastrointestinal
Upper Gastrointestinal Tract - diagnostic imaging
Upper GI
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Summary:Fistulas in the upper gastrointestinal (GI) tract are complex conditions associated with elevated morbidity and mortality. They may arise as a result of inflammatory or malignant processes or following medical procedures, including endoscopic and surgical interventions. The management of upper GI is often challenging and requires a multidisciplinary approach. Accurate diagnosis, including endoscopic and radiological evaluations, is crucial to build a proper and personalized therapeutic plan, that should take into account patient's clinical conditions, time of onset, size, and anatomical characteristics of the defect. In recent years, several endoscopic techniques have been introduced for the minimally invasive management of upper GI fistulas, including through-the-scope and over-the-scope clips, stents, endoscopic suturing, endoluminal vacuum therapy (EVT), tissue adhesives, endoscopic internal drainage. This review aims to discuss and detail the current available endoscopic techniques for the treatment of upper GI fistulas.
ISSN:1521-6918
1532-1916
1532-1916
DOI:10.1016/j.bpg.2024.101929