Percutaneous Embolization of Anastomotic Leakage Following Total Gastrectomy with Esophagojejunostomy using N-Butyl-2-Cyanoacrylate Glue: A Case Report
Total gastrectomy with Roux-en-Y esophagojejunostomy is a common surgical treatment for early gastric cancer; however, postoperative complications such as anastomotic leaks remain a serious risk. This report details a 59-year-old female who underwent total gastrectomy with Roux-en-Y esophagojejun...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
The Korean Society of Radiology
2024-11-01
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| Series: | Journal of the Korean Society of Radiology |
| Subjects: | |
| Online Access: | https://doi.org/10.3348/jksr.2024.0053 |
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| Summary: | Total gastrectomy with Roux-en-Y esophagojejunostomy is a common surgical treatment
for early gastric cancer; however, postoperative complications such as anastomotic leaks
remain a serious risk. This report details a 59-year-old female who underwent total gastrectomy
with Roux-en-Y esophagojejunostomy for early gastric cancer, followed by percutaneous
embolization for esophagojejunal (EJ) anastomotic leakage. Despite initial percutaneous
drainage for fluid accumulation at the EJ site, subsequent CT revealed significant
anastomotic dehiscence. Endoscopic treatment was ineffective and surgical intervention
posed a high risk of mortality; therefore, percutaneous embolization was requested. This
involved four sessions using cut gel foam, N-butyl-2-cyanoacrylate, and lipiodol. The procedure
was successful without complications and led to complete resolution of the leakage
and dehiscence. Follow-up CT scans at 6- and 32-months post-procedure confirmed the
absence of recurrence. This case highlights the potential of percutaneous embolization as a
treatment option for anastomotic leakage after Roux-en-Y esophagojejunostomy. |
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| ISSN: | 2951-0805 |