タニ キミタカ   TANI Kimitaka
  谷 公孝
   所属   医学部 医学科(東京女子医科大学病院)
   職種   助教
論文種別 症例報告
言語種別 英語
査読の有無 査読なし
表題 Endoscopic treatment of anastomotic leakage after colorectal surgery by using polyglycolic acid sheets and fibrin glue
掲載誌名 正式名:DEN open
略  称:DEN Open
ISSNコード:26924609/26924609
掲載区分国内
巻・号・頁 4(1),pp.e364
著者・共著者 KOSHINO Kurodo, NAKAGAWA Ryosuke, TANI Kimitaka, KONDO Hiroka, MAEDA Fumi, OHKI Takeshi, OGAWA Shimpei, YAMAGUCHI Shigeki
担当区分 2nd著者
発行年月 2024/04
概要 We describe the case of a 66-year-old man with an anastomotic fistula after rectal surgery, which was treated colonoscopically using polyglycolic acid sheets and fibrin glue. Polyglycolic acid sheets and fibrin glue have been used in thoracic surgery and otolaryngology to reinforce sutures and prevent air leakage. There have been recent reports of their use in endoscopic surgery for the closure of intraoperative perforations after endoscopic submucosal dissection and for fistula closure after upper gastrointestinal tract surgery. However, anastomotic fistulas in colorectal surgery are difficult to visualize endoscopically and may be difficult to suture with clips due to fibrosis. Polyglycolic acid sheets can be easily trimmed, and the fistula can be easily filled using these sheets; moreover, using fibrin glue to fix the sheets may enable fistula closure in areas that are difficult to visualize endoscopically.
DOI 10.1002/deo2.364
PMID 38601270