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Introduction gastrointestinal (gi) leaks and fistulae constitute a disruption of the gi wall Evolution of interventional endoscopic\\ techniques as well as widespread use of laparoscopic and bariatric surgical procedures has contributed to the rising incidence of gi defects. Gi leaks and fistulae refer to two well distinct entities

A gastrointestinal fistula is an abnormal opening that causes gastric fluids to be discharged through the lining of the stomach or intestines. Leak, perforation, and fistula are the three main types of transmural defects in the gastrointestinal (gi) tract Its impact on patients, surgeons, and the healthcare system is tremendous

Efforts to constraint the occurrence and consequences of gi leak contributed to better assessment and management planning, especially with advanced technology

Detail information about the problem extent and new management options became. Gastrointestinal leaks and fistulae can be serious acute complications or chronic morbid conditions resulting from inflammatory, malignant, or postsurgical states Endoscopic closure of gastrointestinal leaks and fistulae represents major progress in the treatment of patients with these complex presentations The main goal of endoscopic therapy is the interruption of the flow of luminal.

Efforts to constraint the occurrence and consequences of gi leak contributed to better. Upper gi leaks may result in a severe systemic inflammatory response including septicemia However, it may also have a more subtle clinical onset 9.1, we summarize some hallmarks to diagnosis and management, once a heightened suspicion for upper gi leak is present.

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