内镜下应用正丁基-2-氰基丙烯酸酯治疗食管空肠吻合口漏：一例报告
Endoscopic application of n-butyl-2-cyanoacrylate on esophagojejunal anastomotic leak: a case report.
作者信息
Pramateftakis Manousos-Georgios, Vrakas Georgios, Kanellos Ioannis, Mantzoros Ioannis, Angelopoulos Stamatis, Eleftheriades Efthymios, Lazarides Charalampos
机构信息
4th Surgical Department, Aristotle University of Thessaloniki, Thessaloniki, Greece.
出版信息
J Med Case Rep. 2011 Mar 10;5:96. doi: 10.1186/1752-1947-5-96.
INTRODUCTION
This case report describes an esophagojejunal anastomotic leak following total gastrectomy for gastric cancer. The leak was treated successfully with endoscopic application of n-butyl-2-cyanoacrylate. This is the first case report on the endoscopic application of cyanoacrylate alone for the treatment of an anastomotic leak.
CASE PRESENTATION
This report describes a case of a 68-year-old Caucasian man who underwent surgery for gastric cancer. He underwent total gastrectomy and esophagojejunal anastomosis with Roux-en-Y anastomosis plus transverse colectomy. An anastomotic leak was treated conservatively at first for a total of three weeks. However, the leak persisted; therefore, the decision was made to apply topical endoscopic n-butyl-2-cyanoacrylate.
CONCLUSION
The endoscopic application of n-butyl-2-cyanoacrylate alone can be used successfully to treat esophagojejunal anastomotic leakage.
引言
本病例报告描述了一例胃癌全胃切除术后的食管空肠吻合口漏。通过内镜下应用氰基丙烯酸正丁酯成功治疗了该漏口。这是首例关于单独应用氰基丙烯酸酯内镜治疗吻合口漏的病例报告。
病例介绍
本报告描述了一例68岁的白种男性胃癌手术患者。他接受了全胃切除术、食管空肠吻合术（Roux-en-Y吻合术）及横结肠切除术。吻合口漏起初进行了三周的保守治疗。然而，漏口持续存在；因此，决定采用内镜下局部应用氰基丙烯酸正丁酯治疗。
结论
单独应用氰基丙烯酸正丁酯内镜可成功用于治疗食管空肠吻合口漏。
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