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10.4253/wjge.v7.i7.702 http://scihub22266oqcxt.onion/10.4253/wjge.v7.i7.702 C4482829!4482829!26140097     free     free     free       World+J+Gastrointest+Endosc 2015 ; 7 (7): 702-13 Nephropedia Template TP {{tp|p=26140097|t=2015. Endotherapy of leaks and fistula |pdf=|usr=}}{{26140097}} gab.com Text Endotherapy of leaks and fistula JO: World J Gastrointest Endosc http://www.kidney.de/pget.php?&tw=1&pmid=26140097 #FOAvip Perforations, leaks and fistula involving gastrointestinal (GI) tract are increasing encountered in clinical practice. There is a changing paradigm for their management with surgical approach being replaced by conservative approach including endoscopic therapy. Clips (through the scope and over the scope) and covered stent are front runners for endotherapy for GI leaks and fistula. Over the scope clips introduced recently, can treat larger defects compared to through the scope clips. Covered stents are suited for larger defects and those associated with luminal narrowing. However cervical esophagus, gastro-esophageal junction, stomach and right colonic lesions may be better for clip therapy rather than stenting. Recent developments in this field include use of endovac therapy which consists of a sponge with suction device, biodegradable stent, use of fibrin glue and some endo-suturing device. Conservative therapy with no surgical or endoscopic intervention, may be suitable for a small subset of patients. An algorithm based on location, size of defect, associated stricture, infection and available expertise needs to be developed to reduce the mortality and morbidity of this difficult clinical problem. Twit Text FOAVip Endotherapy of leaks and fistula ????World J Gastrointest Endosc http://www.kidney.de/pget.php?&tw=1&pmid=26140097 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26140097 #FOAvip English Wikipedia <ref>{{Cite pmid|26140097}}</ref> Endotherapy of leaks and fistula #MMPMID26140097 Goenka MK; Goenka U World J Gastrointest Endosc 2015[Jun]; 7 (7): 702-13 PMID26140097show ga Perforations, leaks and fistula involving gastrointestinal (GI) tract are increasing encountered in clinical practice. There is a changing paradigm for their management with surgical approach being replaced by conservative approach including endoscopic therapy. Clips (through the scope and over the scope) and covered stent are front runners for endotherapy for GI leaks and fistula. Over the scope clips introduced recently, can treat larger defects compared to through the scope clips. Covered stents are suited for larger defects and those associated with luminal narrowing. However cervical esophagus, gastro-esophageal junction, stomach and right colonic lesions may be better for clip therapy rather than stenting. Recent developments in this field include use of endovac therapy which consists of a sponge with suction device, biodegradable stent, use of fibrin glue and some endo-suturing device. Conservative therapy with no surgical or endoscopic intervention, may be suitable for a small subset of patients. An algorithm based on location, size of defect, associated stricture, infection and available expertise needs to be developed to reduce the mortality and morbidity of this difficult clinical problem. äEndotherapy of leaks and fistula (epmc).pdf DeepDyve Pubget Overpricing