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Lynchburg Journal of Medical Science

Lynchburg Journal of Medical Science

Specialty

Gastroenterology

Advisor

Dr, Tom Colletti

Abstract

Abstract
The endoscopy is the basic tool that every gastroenterologist and colorectal surgeon have in their armamentarium. The endoscopic therapies have evolved over the years and are being used not only for diagnostic, but also for therapeutic purposes. The struggle with managing gastrointestinal bleeding, perforation, anastomotic leaks, fistula, abscess, and sepsis after endoscopic or surgical interventions have kept gastroenterologists and colorectal surgeons perplexed over several decades. The focus of this chapter will be emphasized on addressing the risk factors associated with complications that may occur during endoscopic procedures, such as polypectomy, endoscopic mucosal resection, endoscopic submucosal dissection, balloon dilation and stricturotomy in managing patients with IBD, colorectal cancer or diverticular disease. The evidence-based data on risks factors that predispose patients to anastomotic leaks, abdominal abscess, intestinal strictures, fistula formation, and sepsis after surgical interventions in colorectal as well as diverticular diseases will also be meticulously discussed in the chapter.

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