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

Autor: Pramateftakis, Manousos-Georgios, Vrakas, Georgios, Kanellos, Ioannis, Mantzoros, Ioannis, Angelopoulos, Stamatis, Eleftheriades, Efthymios, Lazarides, Charalampos
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Zdroj: Journal of Medical Case Reports; 2011, Vol. 5 Issue 1, p1-3, 3p
Abstrakt: 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. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index