title: [Therapy options for postoperative fistulas of the upper gastrointestinal tract].
abstract: The mortality of anastomotic leakage following esophageal reconstruction has been reported to be as high as 60%. For the treatment of these dehiscences the use of endoscopy is a tempting option. The standard treatment consisted of endoscopic lavage, drainage and subsequent closure of the leak by application of fibrin glue. 2 patients was tried with a novel approach permitting rapid closure by plugging the fistula with a vicryl cylinder. Endoscopic management of postoperative leaks of the upper gastrointestinal tract represents a safe and relatively gentle therapeutic option.
authors.affiliation: Klinik und Poliklinik für Chirurgie, Otto-von-Guericke Universität Magdeburg.
authors.forename: M
authors.initials: M
authors.lastname: Pross
authors.forename: T
authors.initials: T
authors.lastname: Manger
authors.forename: L
authors.initials: L
authors.lastname: Mirow
authors.forename: I
authors.initials: I
authors.lastname: Mirow
authors.forename: H
authors.initials: H
authors.lastname: Lippert
mesh_terms: D000714:Anastomosis, Surgical; D004724:Endoscopy; D004937:Esophageal Fistula / Q000601:surgery*; D015718:Fibrin Tissue Adhesive / Q000008:administration & dosage; D006801:Humans; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation; D013529:Surgical Wound Dehiscence / Q000601:surgery*; D013536:Suture Techniques / Q000295:instrumentation
chemical_list: D015718:Fibrin Tissue Adhesive