title: Over-the-scope-clipping system for anastomotic leak after colorectal surgery: report of two cases.
abstract: An anastomotic leak is one of the major complications following colorectal surgery. Standard treatments for anastomotic leak are total parenteral nutrition or temporary ileostomy. The over-the-scope-clipping (OTSC) system was originally developed to treat intestinal perforation or to close the tissue after natural orifice transluminal endoscopic surgery. Two cases of successful management of an anastomotic leak after colorectal surgery using the OTSC system are reported. One patient avoided a temporary ileostomy. In the other, hospitalization was shortened by the use of the OTSC system. The OTSC system can be a potential option in the management of anastomotic leaks after colorectal surgery.
authors: Hirotoshi Kobayashi, Center for Minimally Invasive Surgery, Tokyo Medical and Dental University, Tokyo 113-8519, Japan.
authors: Hirotoshi
authors: H
authors: Kobayashi
authors: Hirotoshi Kobayashi, Center for Minimally Invasive Surgery, Tokyo Medical and Dental University, Tokyo 113-8519, Japan.
authors: Akifumi
authors: A
authors: Kikuchi
authors: Hirotoshi Kobayashi, Center for Minimally Invasive Surgery, Tokyo Medical and Dental University, Tokyo 113-8519, Japan.
authors: Satoshi
authors: S
authors: Okazaki
authors: Hirotoshi Kobayashi, Center for Minimally Invasive Surgery, Tokyo Medical and Dental University, Tokyo 113-8519, Japan.
authors: Megumi
authors: M
authors: Ishiguro
authors: Hirotoshi Kobayashi, Center for Minimally Invasive Surgery, Tokyo Medical and Dental University, Tokyo 113-8519, Japan.
authors: Toshiaki
authors: T
authors: Ishikawa
authors: Hirotoshi Kobayashi, Center for Minimally Invasive Surgery, Tokyo Medical and Dental University, Tokyo 113-8519, Japan.
authors: Satoru
authors: S
authors: Iida
authors: Hirotoshi Kobayashi, Center for Minimally Invasive Surgery, Tokyo Medical and Dental University, Tokyo 113-8519, Japan.
authors: Hiroyuki
authors: H
authors: Uetake
authors: Hirotoshi Kobayashi, Center for Minimally Invasive Surgery, Tokyo Medical and Dental University, Tokyo 113-8519, Japan.
authors: Kenichi
authors: K
authors: Sugihara
mesh_terms: D057868:Anastomotic Leak / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D003082:Colectomy / Q000009:adverse effects*; D003113:Colonoscopy / Q000295:instrumentation* / Q000379:methods; D015179:Colorectal Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D008875:Middle Aged; D012086:Reoperation; D012811:Sigmoid Neoplasms / Q000473:pathology / Q000601:surgery*; D013525:Surgical Instruments; D016896:Treatment Outcome
keywords: Anastomotic leak; Colorectal cancer; Colorectal surgery; Double stapling technique; Over-the-scope-clipping