Skałba Władysław, Szymański Piotr, Czarnecki Marek, Zeman Marcin
Department of Oncological and Reconstructive Surgery, Maria Sklodowska-Curie National Research Institute of Oncology, Gliwice, POL.
Cureus. 2022 Jan 24;14(1):e21573. doi: 10.7759/cureus.21573. eCollection 2022 Jan.
Oesophagojejunostomy leakage after total gastrectomy with D2 lymphadenectomy remains a significant clinical issue. In this paper, we present a case of a 63-year-old female patient who, on the first day after surgery, was diagnosed with oesophagojejunostomy leakage in the chest. The general condition of the patient was stabilized by the implementation of conservative treatment and thoracic drainage. Thanks to covered oesophageal stents, the leakage from the fistula between the anastomotic connection, pleura, and skin was reduced. In the subsequent step, treatment with fibrin glue resulted in complete closure of the fistula. The complementary use of fibrin glue may be effective in the treatment of small oesophagojejunostomy leakages when other endoscopic methods are not sufficient.
全胃切除联合D2淋巴结清扫术后的食管空肠吻合口漏仍是一个重要的临床问题。在本文中，我们报告了一例63岁女性患者，术后第一天被诊断为胸部食管空肠吻合口漏。通过保守治疗和胸腔引流，患者的一般情况得以稳定。得益于覆膜食管支架，吻合口、胸膜和皮肤之间瘘管的漏液减少。在随后的步骤中，使用纤维蛋白胶治疗使瘘管完全闭合。当其他内镜方法不足时，纤维蛋白胶的辅助使用可能对治疗小的食管空肠吻合口漏有效。
