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Total Gastrektomi Sonrası Gelişen Anastomoz Kaçağının Endoskopik Onarımı: Minimal İnvaziv Yaklaşım

Endoscopic Repair Of Anastomotic Leakage After Total Gastrectomy: A Minimal Invasive Approach

Journal Name:

  • Selçuk Tıp Dergisi

Publication Year:

  • 2011

Key Words:

Keywords (Original Language):

Author NameUniversity of Author
Abstract (2. Language): 
In the last 20 years the endoscopic use of fibrin tissue adhesive has been mainly used for the conservative treatment of many postsurgical esophageal, gastrointestinal leaks. In this case report, a patient with anastomotic leakage after esophagojejunostomy treated by endoscopic use of fibrin tissue adhesive was presented. If anastomotic defect is smaller, fistula flow is not more, and distance can be reached by endoscopically, this treatment method can be applied easily.
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Abstract (Original Language): 
Son yirmi yılda, cerrahi sonrasında gelişen özefageal ve gastrointestinal anastomoz kaçaklarının konservatif tedavisinde fibrin doku yapıştırıcı kullanımı gündeme gelmiştir. Bu çalışmada özofagojejunostomi sonrası anastomoz kaçağı gelişen ve fibrin doku yapıştırıcısı kullanarak tedavi ettiğimiz olguyu sunduk. Anastomozdaki defekt çapı küçükse, fistül debisi fazla değilse ve endoskopik olarak ulaşılabilecek mesafede ise bu tedavi yöntemi rahatlıkla uygulanabilir.
FULL TEXT (PDF): 
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  • 4
236-237
  • Turkish

REFERENCES

References: 

1. Dorsey JS, Esses S, Goldberg M, Stone R (1980) Esophagogastrestomy using the autosuture EEA surgical stapling instrument. Ann Thoracic Surg 30:308-312
2. Wong J, Cheung H, Lui R, Fan YW, Smith A, Siu KF (1987) Esophagogastrectomy performed with a stapler: the occurrence of leakage and stricture. Surgery 101:408-415
3. Scurtu R, Groza N, Otel O, Goia A, Funariu G (2005) Quality-oflife patients with esophagojejunal anastomosis after total gastrectomy for cancer. Rom J Gastrenterol 4:367-372
4. Abe N, Sugiyama M, Hashimoto Y, et al. Endoscopic nasomediastinal drainage followed by clip application for treatment of delayed esophageal perforation with mediastinitis. Gastrointest Endosc 2001;54: 646-8.
5. Raymer GS, Sadana A, Campbell DB, et al. Endoscopic clip application as an adjunct to closure of mature esophageal perforation with fistulae. Clin Gastroenterol Hepatol 2003;1:44-50
6. Rabago LR, Ventosa N, Castro JL, et al. Endoscopic treatment of postoperative fistulas resistant to conservative management using biological fibrin glue. Endoscopy 2002;34:632-8.
7. Petersen B, Barkun A, Carpenter S, et al. Tissue adhesives and fibrin glues: November 2003. Gastrointest Endosc 2004;60:327-33.
8. Felsher J, Farres H, Chand B, et al. Mucosal apposition in endoscopic suturing. Gastrointest Endosc 2003;58:867-70.
9. Groitl H, Horbach T. Endoscopic treatment of anastomosis insufficiency and perforative in the esophagus with fibrin glue. Langenbecks Arch Chir Suppl Kongressbd 1996; 113: 753-4.
10. Grund KE, Stuker D. Diagnosis of suture dehiscence in the gastrointestinal tract. Sufficiency of radiology and endoscopy. Langenbecks Arch Chir Suppl Kongressbd 1998; 115: 1146-9.
11. Del Rio P, Dell'Abate P, Soliani P, Ziegler S, Arcuri M, Sianesi M. Endoscopic treatment of esophageal and colo-rectal fistulas with fibrin glue. Acta
Biomed 2005; 76; 95-98

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