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Endoscopic treatment of upper gastrointestinal postsurgical leaks: a narrative review

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초록

Upper gastrointestinal postsurgical leaks are life-threatening conditions with high mortality rates and are one of the most feared com-plications of surgery. Leaks are challenging to manage and often require radiological, endoscopic, or surgical intervention. Steady ad-vancements in interventional endoscopy in recent decades have allowed the development of new endoscopic devices and techniquesthat provide a more effective and minimally invasive therapeutic option compared to surgery. Since there is no consensus regarding themost appropriate therapeutic approach for managing postsurgical leaks, this review aimed to summarize the best available current data. Our discussion specifically focuses on leak diagnosis, treatment aims, comparative endoscopic technique outcomes, and combinedmultimodality approach efficacy.

Abstract

Upper gastrointestinal postsurgical leaks are life-threatening conditions with high mortality rates and are one of the most feared com-plications of surgery. Leaks are challenging to manage and often require radiological, endoscopic, or surgical intervention. Steady ad-vancements in interventional endoscopy in recent decades have allowed the development of new endoscopic devices and techniquesthat provide a more effective and minimally invasive therapeutic option compared to surgery. Since there is no consensus regarding themost appropriate therapeutic approach for managing postsurgical leaks, this review aimed to summarize the best available current data. Our discussion specifically focuses on leak diagnosis, treatment aims, comparative endoscopic technique outcomes, and combinedmultimodality approach efficacy.

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