Role of endoscopic clipping in the treatment of oesophageal perforations

doi:10.4253/wjge.v8.i1.13

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Jan 10, 2016 (publication date) through Mar 3, 2026

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World Journal of Gastrointestinal Endoscopy

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1948-5190

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Endosc. Jan 10, 2016; 8(1): 13-22
Published online Jan 10, 2016. doi: 10.4253/wjge.v8.i1.13

Role of endoscopic clipping in the treatment of oesophageal perforations

György Lázár, Attila Paszt, Eszter Mán

György Lázár, Attila Paszt, Eszter Mán, Department of Surgery, University of Szeged, Szeged 6720, Hungary

Author contributions: Lázár G wrote the article and analyzed the data; Paszt A and Mán E collected and analyzed the data and created the tables.

Conflict-of-interest statement: The authors declare no conflict of interest.

Correspondence to: György Lázár, MD, PhD, Head, Department of Surgery, University of Szeged, H-6720 Szeged, Szőkefalvi-Nagy Béla u. 6., Szeged 6720, Hungary. gylazar@gmail.com

Telephone: +36-62-545701 Fax: +36-62-545701

Received: July 28, 2015
Peer-review started: July 30, 2015
First decision: September 14, 2015
Revised: September 25, 2015
Accepted: November 10, 2015
Article in press: November 11, 2015
Published online: January 10, 2016
Processing time: 163 Days and 18.8 Hours

Core Tip

Core tip: With advances in endoscopic technologies, endoscopic clips have been used successfully in the treatment of various types of oesophageal perforations, anastomosis leakages and fistulas. We summarized the results of oesophageal perforation closure with endoscopic clips [the through-the-scope (TTS) clip and the over-the-scope clip (OTSC)]. We processed the data from 38 articles and 127 patients using PubMed search. Based on the evidence, TTS clips are efficacious in the treatment of 10 mm lesions, while bigger (< 20 mm) lesions can be treated successfully with OTSC clips. Based on experience so far, endoscopic clips represent a possible therapeutic alternative to surgery in the treatment of oesophageal perforations under well-defined conditions.