Perforations from Endoscopic Dilation of Corrosive Strictures in Adults: A Systematic Review and Meta-Analysis

Bush, Nikhil; Bhattacharjee, Samiksha; Sachan, Anurag; Gupta, Rajesh; Rana, Surinder Singh

doi:10.1007/s10620-021-07295-6

Cited by 4 publications

(1 citation statement)

References 30 publications

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“…Other complications include bleeding and esophageal perforation, which occurs in only 0.03% of diagnostic EGDs 11 . More invasive procedures, such as esophageal stricture dilatation, endoscopic mucosal resection, endoscopic submucosal dissection, or esophageal stenting, are associated with a greater risk of esophageal perforation 12 13 14 15 16 17 18 19 20 . Gastric and duodenal perforations are also possible 21 .…”

Section: Introductionmentioning

confidence: 99%

Upper gastrointestinal endoscopy procedure volume trends, perioperative mortality, and malpractice claims: Population-based analysis

Nurminen,

Järvinen,

Robinson

et al. 2024

Endosc Int Open

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Background and study aims Upper gastrointestinal endoscopy (EGD) is one of the most common diagnostic procedures done to examine the foregut, but it can also be used for therapeutic interventions. The main objectives of this study were to investigate trends in EGD utilization and mortality related to it in a national low-threshold healthcare system, assess perioperative safety, and identify and describe patient-reported malpractice claims from the national database. Patients and methods We retrospectively identified patients from the Finnish Patient Care Registry who underwent diagnostic or procedural EGD between 2010 and 2018. In addition, patient-reported claims for malpractice were analyzed from the National Patient Insurance Center (PIC) database. Patient survival data were gathered collectively from the National Death Registry from Statistics Finland. Results During the study period, 409,153 EGDs were performed in Finland for 298,082 patients, with an annual rate of 9.30 procedures per 1,000 inhabitants, with an annual increase of 2.6%. Thirty-day all-cause mortality was 1.70% and 90-day mortality was 3.84%. For every 1,000 patients treated, 0.23 malpractice claims were filed. Conclusions The annual rate of EGD increased by 2.6% during the study, while the rate of interventional procedures remained constant. Also, while the 30-day mortality rate declined over the study period, it is an unsuitable quality metric for EGDs in comprehensive centers because a patient’s underlying disease plays a larger role than the procedure in perioperative mortality. Finally, there were few malpractice claims, with self-evident causes prevailing.

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Section: Introductionmentioning

confidence: 99%

Upper gastrointestinal endoscopy procedure volume trends, perioperative mortality, and malpractice claims: Population-based analysis

Nurminen,

Järvinen,

Robinson

et al. 2024

Endosc Int Open

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Endoscopic Dilation of Corrosive Strictures: Is It Safe?

Sharma

Birk

2021

Dig Dis Sci

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Esophageal Dilation in Children

Shahein

Krasaelap

et al. 2022

J. pediatr. gastroenterol. nutr.

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Esophageal dilations in children are performed by several pediatric and adult professionals. We aim to summarize improvements in safety and new technology used for the treatment of complex and refractory strictures, including triamcinolone injection, endoscopic electro-incisional therapy, topical mitomycin-C application, stent placement, functional lumen imaging probe assisted dilation, and endoscopic vacuum-assisted closure in the pediatric population.

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Perforations from Endoscopic Dilation of Corrosive Strictures in Adults: A Systematic Review and Meta-Analysis

Cited by 4 publications

References 30 publications

Upper gastrointestinal endoscopy procedure volume trends, perioperative mortality, and malpractice claims: Population-based analysis

Upper gastrointestinal endoscopy procedure volume trends, perioperative mortality, and malpractice claims: Population-based analysis

Endoscopic Dilation of Corrosive Strictures: Is It Safe?

Esophageal Dilation in Children

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