title: Endoscopic closure of postoperative anastomotic leakage with endoclips and detachable snares.
abstract: Anastomotic leakage, although uncommon, is a life-threatening complication and requires prompt recognition and treatment. Surgical closure has been recommended for defects that are large and symptomatic. However, recent reports on successful endoscopic closure of anastomotic leakage suggest that endoscopic techniques may be a feasible alternative to surgical approaches in patients with comorbid conditions that are not suitable for undergoing second operation or for those who refuse to be reoperated. Herein, we describe a case of postoperative gastrojejunal anastomotic leakage that was successfully treated with endoscopic closure using endoclips and detachable snares.
authors.affiliation: Department of Internal Medicine, Division of Gastroenterology and Hepatology, Institute of Digestive Disease and Nutrition, Korea University College of Medicine, Seoul, Korea.
authors.forename: Jung
authors.initials: J
authors.lastname: Yoon
authors.forename: Hong Sik
authors.initials: HS
authors.lastname: Lee
authors.forename: Jong Jin
authors.initials: JJ
authors.lastname: Hyun
authors.forename: Chang Duck
authors.initials: CD
authors.lastname: Kim
authors.forename: Ho Sang
authors.initials: HS
authors.lastname: Ryu
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis / Q000601:surgery*; D000368:Aged; D057868:Anastomotic Leak / Q000601:surgery*; D001707:Biopsy, Needle; D004724:Endoscopy / Q000379:methods; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000009:adverse effects* / Q000379:methods; D015390:Gastric Bypass / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D007150:Immunohistochemistry; D008297:Male; D009367:Neoplasm Staging / Q000379:methods; D049268:Positron-Emission Tomography / Q000379:methods; D011183:Postoperative Complications / Q000601:surgery; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D013274:Stomach Neoplasms / Q000175:diagnosis / Q000601:surgery*; D013525:Surgical Instruments; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome