Endoscopic application of n-butyl-2-cyanoacrylate on esophagojejunal anastomotic leak: A case report

被引：13

作者：

Pramateftakis M.-G. ^{[1
,2
]}

Vrakas G. ^{[1
,2
]}

Kanellos I. ^{[1
,2
]}

Mantzoros I. ^{[1
,2
]}

Angelopoulos S. ^{[1
,2
]}

Eleftheriades E. ^{[2
]}

Lazarides C. ^{[1
,2
]}

机构：

[1] 4th Surgical Department, Aristotle University of Thessaloniki, Thessaloniki

[2] Aristotle University of Thessaloniki, Thessaloniki

来源：

Journal of Medical Case Reports | / 5卷 / 1期

关键词：

Gastric Cancer; Total Parenteral Nutrition; Total Gastrectomy; Tissue Adhesive; Tracheoesophageal Fistula;

D O I：

10.1186/1752-1947-5-96

中图分类号：

学科分类号：

摘要：

Introduction. This case report describes an esophagojejunal anastomotic leak following total gastrectomy for gastric cancer. The leak was treated successfully with endoscopic application of n-butyl-2-cyanoacrylate. This is the first case report on the endoscopic application of cyanoacrylate alone for the treatment of an anastomotic leak. Case presentation. This report describes a case of a 68-year-old Caucasian man who underwent surgery for gastric cancer. He underwent total gastrectomy and esophagojejunal anastomosis with Roux-en-Y anastomosis plus transverse colectomy. An anastomotic leak was treated conservatively at first for a total of three weeks. However, the leak persisted; therefore, the decision was made to apply topical endoscopic n-butyl-2-cyanoacrylate. Conclusion: The endoscopic application of n-butyl-2-cyanoacrylate alone can be used successfully to treat esophagojejunal anastomotic leakage. © 2011 Pramateftakis et al; licensee BioMed Central Ltd.

引用

共 12 条

[1]

Bruce J., Krukowski Z.H., Al-Khairy G., Russell E.M., Park K.G.M., Systematic review of the definition and measurement of anastomotic leak after gastrointestinal surgery, British Journal of Surgery, 88, 9, pp. 1157-1168, (2001)

[2]

Panieri E., Dent D.M., Implications of anastomotic leakage after total gastrectomy for gastric carcinoma, South African Journal of Surgery, 41, 3, pp. 66-69, (2003)

[3]

Lamb P.J., Griffin S.M., Chandrashekar M.V., Richardson D.L., Karat D., Hayes N., Prospective study of routine contrast radiology after total gastrectomy, British Journal of Surgery, 91, 8, pp. 1015-1019, (2004)

[4]

Budiin N., Majdevac I., Breberina M., Guduri B., Total gastrectomy and its early postoperative complications in gastric cancer, Arch Oncol, 8, pp. 91-94, (2000)

[5]

Meyer L., Meyer F., Dralle H., Ernst M., Lippert H., Gastinger I., Insufficiency risk of esophagojejunal anastomosis after total abdominal gastrectomy for gastric carcinoma, Langenbeck's Archives of Surgery, 390, 6, pp. 510-516, (2005)

[6]

Gonzalez R., Sarr M.G., Smith C.D., Baghai M., Kendrick M., Szomstein S., Rosenthal R., Murr M.M., Diagnosis and contemporary management of anastomotic leaks after gastric bypass for obesity, Journal of the American College of Surgeons, 204, 1, pp. 47-55, (2007)

[7]

Canonico S., The use of Human Fibrin Glue in the surgical operations, Acta Biomedica de l'Ateneo Parmense, 74, SUPPL. 2, pp. 21-25, (2003)

[8]

Fernandez E., Tejero E., Tieso A., Randomized trial of fibrin glue to seal mechanical oesophagojejunal anastomosis, British Journal of Surgery, 83, 1, pp. 40-41, (1996)

[9]

Yoon J.H., Lee H.L., Lee O.Y., Yoon B.C., Choi H.S., Hahm J.S., Rhim S.Y., Jung P.M., Endoscopic treatment of recurrent congenital tracheoesophageal fistula with Histoacryl glue via the esophagus, Gastrointest Endosc, 69, pp. 1394-1396, (2009)

[10]

Weiss M., Haj M., Gastrointestinal anastomosis with histoacryl glue in rats, Journal of Investigative Surgery, 14, 1, pp. 13-19, (2001)

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