[Therapy options for postoperative fistulas of the upper gastrointestinal tract].
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.
Pross
M
M
Klinik und Poliklinik für Chirurgie, Otto-von-Guericke Universität Magdeburg.
Manger
T
T
Mirow
L
L
Mirow
I
I
Lippert
H
H
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
D015718:Fibrin Tissue Adhesive