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Endoscopic application of n-butyl-2-cyanoacrylate on esophagojejunal anastomotic leak: a case report.

TitleEndoscopic application of n-butyl-2-cyanoacrylate on esophagojejunal anastomotic leak: a case report.
Publication TypeJournal Article
Year of Publication2011
AuthorsPramateftakis, M-G., Vrakas G., Kanellos I., Mantzoros I., Angelopoulos S., Eleftheriades E., & Lazarides C.
JournalJ Med Case Rep
Volume5
Pagination96
Date Published2011
ISSN1752-1947
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.

DOI10.1186/1752-1947-5-96
Alternate JournalJ Med Case Rep
PubMed ID21392389
PubMed Central IDPMC3064650

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