Journal of

Case Reports and Images in Surgery

 
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Case Report
 
Large anastomotic leakage is always a surgical matter? A big leak repaired with a special stent
Valeria Clemente1, Angelo Dezi1, Maurizio Tarquini1, Virginia Festa1, Marco Catarci2, Marco Bianchi1
1Gastroenterology and Hepatology San Filippo Neri Hospital, Rome, Italy.
2Oncologic Surgery San Filippo Neri Hospital, Rome, Italy.

Article ID: 100010Z12VC2016
doi:10.5348/Z12-2016-10-CR-2

Address correspondence to:
Marco Bianchi
Gastroenterology and Hepatology San Filippo Neri Hospital
Via Martinotti, 20 -00135- Rome
Italy

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How to cite this article:
Clemente V, Dezi A, Tarquini M, Festa V, Catarci M, Bianchi M. Large anastomotic leakage is always a surgical matter: A big leak repaired with a special stent. J Case Rep Images Surg 2016;2:5–8.


Abstract
Introduction: Intrathoracic esophagogastric anastomotic leakage is a life-threatening condition, with high postoperative mortality. In last decade, endoscopic treatment options, such as stent placement, have been tried to repair these leaks with good outcomes. The size of the leakages is an important factor to select patients that can benefit from stent placement.
Case Report: We report a case of a very large anastomotic leak occurred after surgery for adenocarcinoma of the cardia, repaired with endoscopic insertion of an especially designed stent.
Conclusion: Temporary stent placement is an effective and reliable method to repair post surgical esophagogastric anastomotic leaks. Limits such as stent migration and size of the leaks can be overcome by the choice of the proper stent.

Keywords: Anastomotic leak, Endoscopy, Esophagogastric anastomosis, Self-expandable metallic stents


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Author Contributions
Valeria Clemente – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Angelo Dezi – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Maurizio Tarquini – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Virginia Festa – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Marco Catarci – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Marco Bianchi – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Valeria Clemente et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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