title: Endoscopic closure of gastric tube perforations with titanium clips: a four-case report.
abstract: Perforation of a gastric tube is a rare yet lethal complication after esophagectomy for esophageal cancer treatment. Currently, over-the-scope clip (OTSC) is an effective way to treat gastric tube perforation. Due to the lack of OTSCs, we invented an alternative method composed of a titanium clip and gastroscope. The aim of this study was to describe this novel endoscopic device in the treatment of gastric tube perforation. We used a titanium clip system to treat 4 male patients (range, 53 to 77 years with gastric tube perforation. After the location of the perforation was identified by gastroscope, a titanium endoscopic clip was used to close the perforation. Successful closure of the gastric tube perforation was achieved in three patients while in one patient this failed due to his refusal to undergo reoperation. No postoperative complication was found in the three patients whose perforations were closed and the patient who refused reoperation died due to the reoccurrence of his esophago-cardiac carcinoma. The endoscopic system composed of titanium clip and gastroscope proved to be an efficient and effective device in the treatment of the patients with gastric tube perforations.
authors.affiliation: Department of Cardiothoracic Surgery, the Third Affiliated Hospital of Soochow University, 185 Juqian Street, Changzhou, 213003, China. 15961210932@163.com.
authors.forename: Xianghong
authors.initials: X
authors.lastname: Zhan
authors.affiliation: Department of Cardiothoracic Surgery, the Third Affiliated Hospital of Soochow University, 185 Juqian Street, Changzhou, 213003, China. colin_iverson@163.com.
authors.forename: Bin
authors.initials: B
authors.lastname: Wang
authors.affiliation: Department of Cardiothoracic Surgery, the Third Affiliated Hospital of Soochow University, 185 Juqian Street, Changzhou, 213003, China. ddm5122@163.com.
authors.forename: Dongmei
authors.initials: D
authors.lastname: Di
authors.affiliation: Department of Digestive Medicine, the Third Affiliated Hospital of Soochow University, 185 Juqian Street, Changzhou, 213003, China. zhuangyun120@sohu.com.
authors.forename: Yun
authors.initials: Y
authors.lastname: Zhuang
authors.affiliation: Department of Cardiothoracic Surgery, the Third Affiliated Hospital of Soochow University, 185 Juqian Street, Changzhou, 213003, China. zhangxy6689996@163.com.
authors.forename: Xiaoying
authors.initials: X
authors.lastname: Zhang
authors.affiliation: Department of Digestive Medicine, the Third Affiliated Hospital of Soochow University, 185 Juqian Street, Changzhou, 213003, China. cjp7668@sina.com.
authors.forename: Jianping
authors.initials: J
authors.lastname: Chen
mesh_terms: D000368:Aged; D004724:Endoscopy / Q000295:instrumentation*; D005773:Gastroscopy; D006801:Humans; D007416:Intestinal Perforation / Q000601:surgery*; D008297:Male; D008866:Microsurgery / Q000295:instrumentation*; D008875:Middle Aged; D011379:Prognosis; D013525:Surgical Instruments; D014025:Titanium; D058106:Wound Closure Techniques
chemical_list: D014025:Titanium