THE ROLE OF EMERGENCY ENDOSCOPY IN EMERGENCIES

Annotation

Resume.This literature review presents a comprehensive analysis of current data regarding the use of new minimally invasive interventions in gynecological emergencies. A search of PubMed, Scopus, Web of Science, eLibrary, and Cyberleninka databases for publications over the past 5 years was conducted using the following keywords: emergency endoscopy, emergency conditions, gastrointestinal tract, biliary system, endoscopic hemostasis, foreign bodies, complete esophageal obstruction, esophageal batteries, and severe cholangitis. Emergency endoscopy is a key tool in modern emergency medicine for acute gastrointestinal and biliary conditions. Early endoscopic assessment and, if necessary, therapeutic intervention allow for rapid localization of the cause of the pathology, endoscopic hemostasis, removal of foreign bodies, decompression of the biliary tree, and thereby reducing the need for open surgery, complication rates, and mortality. Current guidelines recommend performing endoscopy after adequate preendoscopic stabilization within a timeframe dependent on the clinical presentation: within 24 hours in most cases, while certain critical situations (complete esophageal obstruction, esophageal batteries, severe cholangitis) require immediate or early intervention. Recent data confirm the benefit of organized 24/7 endoscopy services in large centers, but the optimal model depends on patient volume, resources, and regional routing. A literature review from 2020–2025 confirms that emergency endoscopy is a critical component of modern emergency care.

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Keywords

emergency endoscopy emergency conditions gastrointestinal tract biliary system endoscopic hemostasis foreign bodies complete esophageal obstruction esophageal stents severe cholangitis.

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List of literature

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