endoscopic management of gastrointestinal leaks and perforation with polyglycolic acid sheets

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ID: 237192
2017
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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.
Reference Key
han2017clinicalendoscopic Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Sojung Han;Hyunsoo Chung;Jun Chul Park;Sung Kwan Shin;Sang Kil Lee;Yong Chan Lee
Journal annals of intensive care
Year 2017
DOI
10.5946/ce.2016.121
URL
http://www.e-ce.org/upload/pdf/ce-2016-121.pdf
Keywords
perforation pancreatic neoplasms leakage fistula Gastroenterology pancreatic neuroendocrine tumorinternal medicinediseases of the digestive system

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