Gastroenterology Department, Dar Alfouad Hospital, 26th of July St., 6th of October City, Giza 12568, Egypt.
Surg Endosc. 2013 Aug;27(8):2967-70. doi: 10.1007/s00464-013-2839-1. Epub 2013 Feb 23.
Several techniques have been proposed to seal post-operative leaks endoscopicaly, however, chronic fibrosed fistulas remain a tenacious problem. We describe the success of a combination of minimally invasive peroral endoscopic techniques to seal and permanently close a chronic gastrocutaneous fistula complicating a laparoscopic gastric bypass, these techniques included: fistuloscopy, argon plasma coagulation, mucosal stripping and the novel over-the-scope clips.
已经提出了几种内窥镜技术来密封术后漏口,然而,慢性纤维化瘘管仍然是一个棘手的问题。我们描述了一种微创经口内镜技术联合应用成功地封闭和永久关闭腹腔镜胃旁路术后并发的慢性皮胃瘘的病例,这些技术包括:瘘管镜检查、氩等离子凝固术、黏膜剥离术和新型内镜下夹闭器。