Prevention, detection and management of adverse events of third-space endoscopy.

IF 2 Q3 GASTROENTEROLOGY & HEPATOLOGY Indian Journal of Gastroenterology Pub Date : 2024-10-01 Epub Date: 2024-09-11 DOI:10.1007/s12664-024-01665-4
Rohan Yewale, Amit Daphale, Ashish Gandhi, Amol Bapaye
{"title":"Prevention, detection and management of adverse events of third-space endoscopy.","authors":"Rohan Yewale, Amit Daphale, Ashish Gandhi, Amol Bapaye","doi":"10.1007/s12664-024-01665-4","DOIUrl":null,"url":null,"abstract":"<p><p>Third space endoscopy (TSE) or sub-mucosal endoscopy using a mucosal flap valve (SEMF) enables the endoscopist to operate in the deeper layers of the gastrointestinal tract or gain access to the mediastinal/peritoneal cavity for natural orifice transoral endoscopic surgery (NOTES). TSE procedures are essentially endoscopic surgical procedures with a variable learning curve. Adverse events (AEs) during TSE are specific and follow a certain pattern across the spectrum of TSE procedures. These can be broadly categorized according to either type of AE, time of presentation relative to the procedure or according to degree of severity. Three major categories of AEs encountered during TSE include insufflation related AEs, mucosal injuries (MIs) and bleeding. Other relevant AEs include infectious complications, aspiration pneumonia, post-procedural chest/abdominal pain, atelectasis, cardiac arrhythmias, pleural effusion and pulmonary embolism. Reported incidence of AEs during TSE procedures varies according to the type and complexity of procedure. Acquaintance regarding potential risk factors, technical tips and precautions, alarm signs for early recognition, assessment of degree of severity, morphological characterization of AEs and finally, expeditious selection of appropriate management strategy are crucial and imperative for successful clinical outcomes. The current review discusses the current evidence and practical guidelines for prevention, early detection and management of TSE-related AEs.</p>","PeriodicalId":13404,"journal":{"name":"Indian Journal of Gastroenterology","volume":" ","pages":"872-885"},"PeriodicalIF":2.0000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Gastroenterology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s12664-024-01665-4","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/9/11 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Third space endoscopy (TSE) or sub-mucosal endoscopy using a mucosal flap valve (SEMF) enables the endoscopist to operate in the deeper layers of the gastrointestinal tract or gain access to the mediastinal/peritoneal cavity for natural orifice transoral endoscopic surgery (NOTES). TSE procedures are essentially endoscopic surgical procedures with a variable learning curve. Adverse events (AEs) during TSE are specific and follow a certain pattern across the spectrum of TSE procedures. These can be broadly categorized according to either type of AE, time of presentation relative to the procedure or according to degree of severity. Three major categories of AEs encountered during TSE include insufflation related AEs, mucosal injuries (MIs) and bleeding. Other relevant AEs include infectious complications, aspiration pneumonia, post-procedural chest/abdominal pain, atelectasis, cardiac arrhythmias, pleural effusion and pulmonary embolism. Reported incidence of AEs during TSE procedures varies according to the type and complexity of procedure. Acquaintance regarding potential risk factors, technical tips and precautions, alarm signs for early recognition, assessment of degree of severity, morphological characterization of AEs and finally, expeditious selection of appropriate management strategy are crucial and imperative for successful clinical outcomes. The current review discusses the current evidence and practical guidelines for prevention, early detection and management of TSE-related AEs.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
第三空间内窥镜检查不良事件的预防、检测和管理。
第三空间内窥镜(TSE)或使用粘膜瓣阀的粘膜下内窥镜(SEMF)使内窥镜医师能够在胃肠道深层进行手术,或进入纵隔/腹膜腔进行自然孔经口内窥镜手术(NOTES)。TSE 手术本质上是内窥镜外科手术,学习曲线不尽相同。TSE 过程中发生的不良事件(AEs)是特定的,在整个 TSE 过程中都遵循一定的模式。这些不良事件可根据不良事件的类型、相对于手术的出现时间或严重程度进行大致分类。在 TSE 过程中会遇到的三大类 AE 包括充气相关 AE、粘膜损伤 (MI) 和出血。其他相关的 AE 包括感染性并发症、吸入性肺炎、术后胸痛/腹痛、肺不张、心律失常、胸腔积液和肺栓塞。根据手术类型和复杂程度的不同,TSE 手术中 AEs 的报告发生率也不尽相同。了解潜在的风险因素、技术提示和预防措施、早期识别的报警信号、严重程度评估、AEs 形态学特征,最后迅速选择适当的管理策略,这些对于成功的临床结果至关重要,势在必行。本综述讨论了预防、早期发现和处理 TSE 相关 AE 的现有证据和实用指南。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Indian Journal of Gastroenterology
Indian Journal of Gastroenterology GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
3.90
自引率
10.00%
发文量
73
期刊介绍: The Indian Journal of Gastroenterology aims to help doctors everywhere practise better medicine and to influence the debate on gastroenterology. To achieve these aims, we publish original scientific studies, state-of -the-art special articles, reports and papers commenting on the clinical, scientific and public health factors affecting aspects of gastroenterology. We shall be delighted to receive articles for publication in all of these categories and letters commenting on the contents of the Journal or on issues of interest to our readers.
期刊最新文献
Transfusion-related lung complications are uncommon in non-ventilated liver failure patients undergoing low-volume plasma exchange. Esophagitis dissecans superficialis - An intimidating, but innocuous condition. Gastroparesis in a patient with benign joint hypermobility syndrome. Remitting seronegative symmetrical synovitis with pitting edema: An unusual paraneoplastic manifestation of metastatic gastrointestinal cancer. Esophagogastric junction outflow obstruction- Is esophageal manometry enough to diagnose and treat?
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1