TANI Kimitaka
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Assistant Professor
Article types Case report
Language English
Peer review Non peer reviewed
Title Endoscopic treatment of anastomotic leakage after colorectal surgery by using polyglycolic acid sheets and fibrin glue
Journal Formal name:DEN open
Abbreviation:DEN Open
ISSN code:26924609/26924609
Domestic / ForeginDomestic
Volume, Issue, Page 4(1),pp.e364
Author and coauthor KOSHINO Kurodo, NAKAGAWA Ryosuke, TANI Kimitaka, KONDO Hiroka, MAEDA Fumi, OHKI Takeshi, OGAWA Shimpei, YAMAGUCHI Shigeki
Authorship 2nd author
Publication date 2024/04
Summary 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