tailieunhanh - Báo cáo y học: " Endoscopic application of n-butyl-2-cyanoacrylate on esophagojejunal anastomotic leak: a case repor"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Endoscopic application of n-butyl-2-cyanoacrylate on esophagojejunal anastomotic leak: a case report. | Pramateftakis et al. Journal of Medical Case Reports 2011 5 96 http content 5 1 96 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Endoscopic application of n-butyl-2-cyanoacrylate on esophagojejunal anastomotic leak a case report 1 1 1 1 Manousos-Georgios Pramateftakis Georgios Vrakas loannis Kanellos loannis Mantzoros Stamatis Angelopoulos 1 Efthymios Eleftheriades2 Charalampos Lazarides1 Abstract 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. Introduction Esophagojejunal anastomotic leakage is a serious complication following total gastrectomy. Studies report a frequency between 4 and 16 1-5 . Once a leak is identified the surgeon has to decide whether to follow conservative or surgical treatment. The conservative treatment remains drainage parenteral nutrition and antibiotics. The endoscopic application of several tissue adhesives such as Human Fibrin Glue can seal the anastomotic leak site. On the basis of the available bibliography no studies to date have reported the use of n-butyl-2-cyanoacrylate for this purpose. The aim of our study is to present the case of an .