Background and Aims
Methods
Results
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Graphical abstract

Abbreviations:
AE (adverse event), EID (endoscopic internal drainage), EVT (endoscopic vacuum therapy), FC-SEMS (fully covered self-expandable metal stent), IQR (interquartile range), OR (odds ratio), OTSC (over-the-scope clip), RYGB (Roux-en-Y gastric bypass), SEMS (self-expandable metal stent), UGI (upper GI)Purchase one-time access:
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DISCLOSURE: The following authors disclosed financial relationships: S. Irani: Research support from Boston Scientific. R Kozarek: Institutional research grant from Boston Scientific. A. Repici: Consultant for Boston Scientific, Erbe, Fujifilm, Medtronic, EndoKey, EndoStart, and Q3Medical. P. Rogalski, A. Baniukiewicz: Consultant for Boston Scientific. V. Kumbhari: Consultant for Medtronic, Pentax Medical, Boston Scientific, FujiFilm, and Apollo Endosurgery; research support from Erbe USA. M. A. Khashab: Consultant for Boston Scientific, Olympus, Medtronic, GI Supply, and Triton. A. R. Schulman: Consultant for Boston Scientific, Apollo Endosurgery, and MicroTech; research support from GI Dynamics. All other authors disclosed no financial relationships.
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- Minimally invasive endoscopic approaches to manage postsurgical leaks: time to recognize the finger in the dikeGastrointestinal EndoscopyVol. 93Issue 6
- PreviewPostsurgical leaks and fistulas are devastating adverse events (AEs) leading to prolonged hospitalization, considerable morbidity, and significant mortality.1 An anastomotic leak is the strongest independent risk factor for postoperative mortality, with rates up to 15%. Spontaneous closure rates of leaks with conservative and radiologic interventions are highly variable, ranging from 16% to 46%.1 In patients who undergo rescue or redo surgery, the mortality increases to 15% to 30% and recurrence in up to one third of patients.
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