Endoscopic management of postoperative upper gastrointestinal leakage
Anastomotic leakage is a potentially life-threatening adverse event that can occur after gastrectomy or gastric bypass surgery, ranging in severity from minor anastomotic defects to fulminant cases. The management of anastomotic leakage varies according to the time of diagnosis and the severity of t...
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| Format: | Article |
| Language: | English |
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Society of Gastrointestinal Intervention
2022-10-01
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| Series: | International Journal of Gastrointestinal Intervention |
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| Online Access: | http://journaleditor.inforang.com/journal/view.html?doi=10.18528/ijgii220046 |
| _version_ | 1811192104157708288 |
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| author | Ji Yong Ahn |
| author_facet | Ji Yong Ahn |
| author_sort | Ji Yong Ahn |
| collection | DOAJ |
| description | Anastomotic leakage is a potentially life-threatening adverse event that can occur after gastrectomy or gastric bypass surgery, ranging in severity from minor anastomotic defects to fulminant cases. The management of anastomotic leakage varies according to the time of diagnosis and the severity of the leakage; therefore, some cases can be managed conservatively, while others require urgent exploration. Despite aggressive medical and/or surgical management, some patients develop sepsis with multiple organ failure, leading to death. Hence, the management of anastomotic leakage imposes a significant burden on hospital resources. Due to the poor success rate of conservative therapy, anastomotic leakage management is usually performed surgically, which is associated with high morbidity and mortality. Given these concerns, non-operative treatment by endoscopic management, which uses sealants, hemoclips, self-expandable metal stents, and vacuum-assisted sponge closure, may be a valid alternative modality. According to recent studies, the results of endoscopic management for postoperative leakage have improved due to developments in instruments. Therefore, endoscopic management can be considered as an appropriate treatment option for properly selected patients with postoperative leakage. |
| first_indexed | 2024-04-11T23:47:10Z |
| format | Article |
| id | doaj.art-01f6694eac524ad49e0301f303a06f0f |
| institution | Directory Open Access Journal |
| issn | 2636-0004 |
| language | English |
| last_indexed | 2024-04-11T23:47:10Z |
| publishDate | 2022-10-01 |
| publisher | Society of Gastrointestinal Intervention |
| record_format | Article |
| series | International Journal of Gastrointestinal Intervention |
| spelling | doaj.art-01f6694eac524ad49e0301f303a06f0f2022-12-22T03:56:36ZengSociety of Gastrointestinal InterventionInternational Journal of Gastrointestinal Intervention2636-00042022-10-0111417417810.18528/ijgii220046ijgii220046Endoscopic management of postoperative upper gastrointestinal leakageJi Yong Ahn0Departments of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaAnastomotic leakage is a potentially life-threatening adverse event that can occur after gastrectomy or gastric bypass surgery, ranging in severity from minor anastomotic defects to fulminant cases. The management of anastomotic leakage varies according to the time of diagnosis and the severity of the leakage; therefore, some cases can be managed conservatively, while others require urgent exploration. Despite aggressive medical and/or surgical management, some patients develop sepsis with multiple organ failure, leading to death. Hence, the management of anastomotic leakage imposes a significant burden on hospital resources. Due to the poor success rate of conservative therapy, anastomotic leakage management is usually performed surgically, which is associated with high morbidity and mortality. Given these concerns, non-operative treatment by endoscopic management, which uses sealants, hemoclips, self-expandable metal stents, and vacuum-assisted sponge closure, may be a valid alternative modality. According to recent studies, the results of endoscopic management for postoperative leakage have improved due to developments in instruments. Therefore, endoscopic management can be considered as an appropriate treatment option for properly selected patients with postoperative leakage.http://journaleditor.inforang.com/journal/view.html?doi=10.18528/ijgii220046anastomotic leak; endoscopy; therapeutics |
| spellingShingle | Ji Yong Ahn Endoscopic management of postoperative upper gastrointestinal leakage International Journal of Gastrointestinal Intervention anastomotic leak; endoscopy; therapeutics |
| title | Endoscopic management of postoperative upper gastrointestinal leakage |
| title_full | Endoscopic management of postoperative upper gastrointestinal leakage |
| title_fullStr | Endoscopic management of postoperative upper gastrointestinal leakage |
| title_full_unstemmed | Endoscopic management of postoperative upper gastrointestinal leakage |
| title_short | Endoscopic management of postoperative upper gastrointestinal leakage |
| title_sort | endoscopic management of postoperative upper gastrointestinal leakage |
| topic | anastomotic leak; endoscopy; therapeutics |
| url | http://journaleditor.inforang.com/journal/view.html?doi=10.18528/ijgii220046 |
| work_keys_str_mv | AT jiyongahn endoscopicmanagementofpostoperativeuppergastrointestinalleakage |