Endoscopic treatment of anastomotic leakage after colorectal surgery by using polyglycolic acid sheets and fibrin glue
Abstract 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...
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| Format: | Article |
| Language: | English |
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Wiley
2024-04-01
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| Series: | DEN Open |
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| Online Access: | https://doi.org/10.1002/deo2.364 |
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| _version_ | 1849391617905000448 |
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| author | Kurodo Koshino Ryosuke Nakagawa Kimitaka Tani Hiroka Kondo Fumi Maeda Takeshi Ohki Shimpei Ogawa Shigeki Yamaguchi |
| author_facet | Kurodo Koshino Ryosuke Nakagawa Kimitaka Tani Hiroka Kondo Fumi Maeda Takeshi Ohki Shimpei Ogawa Shigeki Yamaguchi |
| author_sort | Kurodo Koshino |
| collection | DOAJ |
| description | Abstract 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. |
| format | Article |
| id | doaj-art-4aee02844dd442089c18e1a7060d41b8 |
| institution | Kabale University |
| issn | 2692-4609 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | DEN Open |
| spelling | doaj-art-4aee02844dd442089c18e1a7060d41b82025-08-20T03:41:00ZengWileyDEN Open2692-46092024-04-0141n/an/a10.1002/deo2.364Endoscopic treatment of anastomotic leakage after colorectal surgery by using polyglycolic acid sheets and fibrin glueKurodo Koshino0Ryosuke Nakagawa1Kimitaka Tani2Hiroka Kondo3Fumi Maeda4Takeshi Ohki5Shimpei Ogawa6Shigeki Yamaguchi7Department of Surgery Institute of Gastroenterology Tokyo Women's Medical University Tokyo JapanDepartment of Surgery Institute of Gastroenterology Tokyo Women's Medical University Tokyo JapanDepartment of Surgery Institute of Gastroenterology Tokyo Women's Medical University Tokyo JapanDepartment of Surgery Institute of Gastroenterology Tokyo Women's Medical University Tokyo JapanDepartment of Surgery Institute of Gastroenterology Tokyo Women's Medical University Tokyo JapanDepartment of Surgery Institute of Gastroenterology Tokyo Women's Medical University Tokyo JapanDepartment of Surgery Institute of Gastroenterology Tokyo Women's Medical University Tokyo JapanDepartment of Surgery Institute of Gastroenterology Tokyo Women's Medical University Tokyo JapanAbstract 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.https://doi.org/10.1002/deo2.364anastomosiscolorectal surgeryfibrin gluefistulapolyglycolic acid |
| spellingShingle | Kurodo Koshino Ryosuke Nakagawa Kimitaka Tani Hiroka Kondo Fumi Maeda Takeshi Ohki Shimpei Ogawa Shigeki Yamaguchi Endoscopic treatment of anastomotic leakage after colorectal surgery by using polyglycolic acid sheets and fibrin glue DEN Open anastomosis colorectal surgery fibrin glue fistula polyglycolic acid |
| title | Endoscopic treatment of anastomotic leakage after colorectal surgery by using polyglycolic acid sheets and fibrin glue |
| title_full | Endoscopic treatment of anastomotic leakage after colorectal surgery by using polyglycolic acid sheets and fibrin glue |
| title_fullStr | Endoscopic treatment of anastomotic leakage after colorectal surgery by using polyglycolic acid sheets and fibrin glue |
| title_full_unstemmed | Endoscopic treatment of anastomotic leakage after colorectal surgery by using polyglycolic acid sheets and fibrin glue |
| title_short | Endoscopic treatment of anastomotic leakage after colorectal surgery by using polyglycolic acid sheets and fibrin glue |
| title_sort | endoscopic treatment of anastomotic leakage after colorectal surgery by using polyglycolic acid sheets and fibrin glue |
| topic | anastomosis colorectal surgery fibrin glue fistula polyglycolic acid |
| url | https://doi.org/10.1002/deo2.364 |
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