论文信息 - Endoscopic closure of gastrocutaneous leakage with polyglycolic acid sheets

Endoscopic closure of gastrocutaneous leakage with polyglycolic acid sheets

with polyglycolic acid sheets Gastrointestinal leakage after surgery is not amenable to several forms of conservative management, and reoperation strategies increase the risk for morbidity and mortality [1]. We report a case of successful endoscopic closure of a gastrocutaneous fistula with polyglycolic acid (PGA) sheets (Neoveil; Gunze Medical Division, Kyoto, Japan) and fibrin glue (Beriplast P Combi-Set; CSL Behring Pharma, Tokyo, Japan). A 68-year-old man who had pancreatic cancer (T4N1M0, stage IVa) underwent neoadjuvant chemoradiotherapy followed by pancreaticoduodenectomy with major arterial resection in the department of surgical oncology of our hospital. Following surgery, gastric juice was observed around a drainage tube just above the gastrojejunal anastomosis. Gastric and subcutaneous pooling of contrast agents and a gastrocutaneous leak were diagnosed radiographically (●" Fig.1). Conservative treatment, including the application of cyanoacrylate glue through

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