Endoscopic Management of Gastrointestinal Leaks and Perforation with Polyglycolic Acid Sheets
Clinical Endoscopy
;
: 293-296, 2017.
Artigo
em Inglês
| WPRIM
| ID: wpr-165381
ABSTRACT
Gastrointestinal (GI) leakage, fistulae, and perforations can be serious and life threatening. There has been a paradigm shift in the management approach of these conditions, from surgical to conservative, including endoscopic management. Here, we report two cases of endoscopic closure of a GI fistula and perforation using polyglycolic acid (PGA) sheets with fibrin glue. The first case is of an anastomotic leak detected after subtotal gastrectomy with gastroduodenostomy. After failed application of endoclips, a PGA sheet was applied, and the fistula was successfully closed. The second case was of a 15-mm large perforated gastric ulcer, which was also successfully closed with a PGA sheet. This is the first case report that PGA sheet was used for the treatment of overt perforation. The outcome of these cases suggest that endoscopic closure using PGA sheets can be considered as a useful alternative for the management of GI leakage, fistulae, and perforations.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Ácido Poliglicólico
/
Úlcera Gástrica
/
Adesivo Tecidual de Fibrina
/
Fístula Anastomótica
/
Fístula
/
Gastrectomia
Idioma:
Inglês
Revista:
Clinical Endoscopy
Ano de publicação:
2017
Tipo de documento:
Artigo
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