Application of endoscopic mucosal advancement in the treatment of chronic anastomotic leakage: A case report

Q3 Medicine Laparoscopic Endoscopic and Robotic Surgery Pub Date : 2022-09-01 DOI:10.1016/j.lers.2022.05.003

Qunmin Wang, Feixia Wang, Saisai Wang, Hanju Hua

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Abstract

Anastomotic leakage is one of the most serious postoperative complications after colorectal surgery. A fistula or chronic sinus formation is one kind of anastomotic leakage. Most fistulas may heal after conservative treatment, but some patients will develop a chronic anastomotic leakage, which definitely requires elective surgery due to the formation of a sinus tract or an internal fistula. This study reports a case of an 88-year-old man with sigmoid colon cancer who developed a chronic anastomotic leakage after colorectal surgery. Endoscopic mucosal advancement combined with titanium clips was successfully performed to close the fistula. The patient was discharged 12 days after the operation and resumed a normal diet 1 week after discharge. Endoscopic mucosal advancement could be an alternative choice for the treatment of chronic anastomotic leakage and can prevent a secondary surgery; however, good bowel preparation and strict inclusion criteria are required.

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内镜下粘膜推进术在慢性吻合口瘘治疗中的应用1例

吻合口瘘是结直肠术后最严重的并发症之一。瘘或慢性窦形成是吻合口漏的一种。大多数瘘管经保守治疗后可愈合，但部分患者会出现慢性吻合口漏，由于形成窦道或内瘘，肯定需要择期手术。本研究报告一例88岁男性乙状结肠直肠癌患者在结直肠手术后发生慢性吻合口瘘。内镜下粘膜推进联合钛夹成功关闭瘘管。患者于术后12天出院，出院后1周恢复正常饮食。内镜下粘膜推进术是治疗慢性吻合口瘘的另一种选择，可避免二次手术;然而，良好的肠道准备和严格的纳入标准是必需的。

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来源期刊

Laparoscopic Endoscopic and Robotic Surgery minimally invasive surgery-

CiteScore

1.40

自引率

0.00%

发文量

期刊介绍： Laparoscopic, Endoscopic and Robotic Surgery aims to provide an academic exchange platform for minimally invasive surgery at an international level. We seek out and publish the excellent original articles, reviews and editorials as well as exciting new techniques to promote the academic development. Topics of interests include, but are not limited to: ▪ Minimally invasive clinical research mainly in General Surgery, Thoracic Surgery, Urology, Neurosurgery, Gynecology & Obstetrics, Gastroenterology, Orthopedics, Colorectal Surgery, Otolaryngology, etc.; ▪ Basic research in minimally invasive surgery; ▪ Research of techniques and equipments in minimally invasive surgery, and application of laparoscopy, endoscopy, robot and medical imaging; ▪ Development of medical education in minimally invasive surgery.