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First page of Therapeutic intervention in pediatric endoscopy - management of post-surgical complications and bleeding

Background: Pediatric surgical complications and their endoscopic treatment approaches share a unique challenge of small anatomy, highly volatile situations and the need to be flexible with instruments which have been designed for older and bigger patients. In the last few decades, endoscopic interventions have emerged as a minimally invasive alternative approach to standard open closure procedures for the treatment of postsurgical complications. Summary: This review summarizes the most common situations and techniques in pediatric endoscopy taking on postsurgical complications, including opportunities to improve outcome and overcome barriers of an individualized therapy as compared to adult strategies. Key Message: Endoscopic management of post-surgical complications is highly effective and associated with high success rates, low mortality, and minimal recurrence of the underlying pathology.

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