The Over-The-Scope-Clip (OTSC) System is Effective in the Treatment of Chronic Esophagojejunal Anastomotic Leakage

被引：31

作者：

Galizia, Gennaro ^{[1
]}

Napolitano, Vincenzo ^{[2
]}

Castellano, Paolo ^{[1
]}

Pinto, Margherita ^{[1
]}

Zamboli, Anna ^{[1
]}

Schettino, Pietro ^{[2
]}

Orditura, Michele ^{[3
]}

De Vita, Ferdinando ^{[3
]}

Auricchio, Annamaria ^{[1
]}

Mabilia, Andrea ^{[1
]}

Pezzullo, Angelo ^{[2
]}

Lieto, Eva ^{[1
]}

机构：

[1] Univ Naples 2, Div Surg Oncol F Magrassi A Lanzara, Dept Clin & Expt Med & Surg, Sch Med, I-80131 Naples, Italy

[2] Univ Naples 2, Endoscopy Unit F Magrassi A Lanzara, Dept Clin & Expt Med & Surg, Sch Med, I-80131 Naples, Italy

[3] Univ Naples 2, Div Med Oncol F Magrassi A Lanzara, Dept Clin & Expt Med & Surg, Sch Med, I-80131 Naples, Italy

来源：

JOURNAL OF GASTROINTESTINAL SURGERY | 2012年 / 16卷 / 08期

关键词：

CASE SERIES; CLOSURE; FISTULAS; DEVICE;

D O I：

10.1007/s11605-012-1862-1

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Management of postoperative esophagojejunal anastomotic leakage after total gastrectomy represents a very challenging event. Surgical repair is difficult, and conservative treatment can predispose to more severe complications. Endoclips and self-expanding stents are useful endoscopic therapeutic options but present some drawbacks. The Over-The-Scope-Clip (OTSC) system has been shown to be appropriate to close acute small gastrointestinal perforations, but its use in the treatment of chronic leakage remains controversial. The present series reports three consecutive chronic esophagojejunal anastomotic leaks successfully treated with OTSC. In all cases, clip application was simple, safe and effective, without early and late complications. The OTSC system may represent a new therapeutic option in the management of postoperative esophagojejunal anastomotic leakage.

引用

页码：1585 / 1589

页数：5

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