Endoscopic closure of postoperative anastomotic leakage with endoclips and detachable snares

Surg Laparosc Endosc Percutan Tech. 2013 Apr;23(2):e74-7. doi: 10.1097/SLE.0b013e31827479ba.

Abstract

Anastomotic leakage, although uncommon, is a life-threatening complication and requires prompt recognition and treatment. Surgical closure has been recommended for defects that are large and symptomatic. However, recent reports on successful endoscopic closure of anastomotic leakage suggest that endoscopic techniques may be a feasible alternative to surgical approaches in patients with comorbid conditions that are not suitable for undergoing second operation or for those who refuse to be reoperated. Herein, we describe a case of postoperative gastrojejunal anastomotic leakage that was successfully treated with endoscopic closure using endoclips and detachable snares.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / diagnosis
  • Adenocarcinoma / surgery*
  • Aged
  • Anastomotic Leak / surgery*
  • Biopsy, Needle
  • Endoscopy / methods
  • Follow-Up Studies
  • Gastrectomy / adverse effects*
  • Gastrectomy / methods
  • Gastric Bypass / adverse effects*
  • Gastric Bypass / methods
  • Humans
  • Immunohistochemistry
  • Male
  • Neoplasm Staging / methods
  • Positron-Emission Tomography / methods
  • Postoperative Complications / surgery
  • Reoperation / methods
  • Risk Assessment
  • Stomach Neoplasms / diagnosis
  • Stomach Neoplasms / surgery*
  • Surgical Instruments*
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome