Successful management of anastomotic leakage with endoscopic fibrin glue injection after primary repair of pure oesophageal atresia
| Autor: | Ryo Tamura, Chloe Roy, Hany Gabra, Leigh McDonald |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Case Report Anastomotic Leak Fibrin Tissue Adhesive Anastomosis 03 medical and health sciences 0302 clinical medicine Postoperative Complications Prenatal Diagnosis Medicine Humans Fibrin glue Feeding tube Esophageal Atresia Gastrostomy medicine.diagnostic_test business.industry Anastomosis Surgical Infant Newborn Infant Interventional radiology General Medicine Plastic Surgery Procedures medicine.disease Mediastinitis Endoscopy Surgery Parenteral nutrition 030220 oncology & carcinogenesis Atresia Esophageal Stenosis 030211 gastroenterology & hepatology Female Tissue Adhesives Esophagoscopy Down Syndrome business |
| Zdroj: | BMJ Case Rep |
| Popis: | Anastomotic leakage (AL) occurs in 15% of cases of primary repair of oesophageal atresia. Urgent surgery is indicated in cases of complete anastomotic separation or severe mediastinitis. Otherwise, conservative management including keeping the patient nil per os (NPO), feeding via transanastomotic tube and prolonged parenteral nutrition, has been widely accepted as it can avoid multiple surgeries in neonates and allow oesophageal continuity to be preserved. However, complications relating to prolonged feeding tube use are common downsides to this approach and the negative impact of prolonged NPO on mastication and swallowing function cannot be ignored.In this case report, a novel approach for the treatment of AL with fibrin glue is reported, following primary repair of oesophageal atresia. It was endoscopically injected into the leakage site to enhance healing and early closure. This procedure was safely performed and achieved early establishment of oral feeding. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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