ASGE International Sampler (On-Demand) | 2024-Immediate post-endoscopic management of colonic perforation what to do when the patient hits recovery

Immediate post-endoscopic management of colonic perforation what to do when the patient hits recovery

Pdf Summary

Dr. Shivangi Kothari's presentation addresses the immediate post-endoscopic management of colonic perforation, emphasizing the importance of early recognition and intervention. Factors contributing to increased risk of perforation include patient and procedure-related factors, with specific considerations for certain conditions like IBD and steroid use. During a procedure, signs such as visible fat, muscle injury, and difficulty with insufflation should prompt early recognition and management. Various endoscopic closure devices such as endoclips, OTSC, and endoscopic suturing are discussed for managing different types of perforations. Following endoscopic closure, patients should be closely monitored for any signs of complications, with interventions ranging from nonoperative management to surgical options based on perforation size and patient stability. Timely management and collaboration between specialties are highlighted as crucial. The presentation concludes with key takeaways, including the need for careful patient selection, early recognition, clear communication, and continuous learning from such events. Overall, the focus is on a systematic approach to managing colonic perforation post-endoscopy to ensure optimal patient outcomes.

Asset Subtitle

Shivangi Kothari, MD, FASGE

Keywords

colonic perforation

post-endoscopic management

early recognition

endoscopic closure devices

endoclips

OTSC

endoscopic suturing

patient monitoring

nonoperative management

surgical options