Successful endoscopic closure of an esophageal leak after endoscopic ultrasound-guided hepaticoesophagostomy by using n-butyl-2 cyanoacrylate

Endoscopic ultrasound-guided hepaticoesophagostomy (EUS-HES) refers to EUS-guided biliary access from the abdominal part of the esophagus, an uncommon choice of route for biliary drainage. In the patient reported herein, an esophageal laceration and leakage at the site of placement of a metal stent...

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Main Authors: Renma Ito, Yusuke Hashimoto, Masafumi Ikeda
Format: Article
Language:English
Published: Society of Gastrointestinal Intervention 2019-07-01
Series:International Journal of Gastrointestinal Intervention
Subjects:
Online Access:https://doi.org/10.18528/ijgii180046
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author Renma Ito
Yusuke Hashimoto
Masafumi Ikeda
author_facet Renma Ito
Yusuke Hashimoto
Masafumi Ikeda
author_sort Renma Ito
collection DOAJ
description Endoscopic ultrasound-guided hepaticoesophagostomy (EUS-HES) refers to EUS-guided biliary access from the abdominal part of the esophagus, an uncommon choice of route for biliary drainage. In the patient reported herein, an esophageal laceration and leakage at the site of placement of a metal stent occurred a few days after EUS-HES. To plug the laceration, 0.5 mL of n-butyl-2 cyanoacrylate mixed with 1 mL of lipiodol was injected through an endoscopic retrograde cholangiopancreatography catheter. We performed EUS-guided transgastric drainage for drainage of the peritoneal fluid collection. The procedures were successful and the laceration eventually healed, with no further leakage.
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spelling doaj.art-a558d3d036e14915b47c775f7976b5fe2022-12-22T00:46:25ZengSociety of Gastrointestinal InterventionInternational Journal of Gastrointestinal Intervention2636-00122019-07-018315115310.18528/ijgii18004610.18528/ijgii180046Successful endoscopic closure of an esophageal leak after endoscopic ultrasound-guided hepaticoesophagostomy by using n-butyl-2 cyanoacrylateRenma Ito0Yusuke Hashimoto1Masafumi Ikeda2Department of Hepatobiliary and Pancreatic Oncology, National Cancer Hospital East, Kashiwa, JapanDepartment of Hepatobiliary and Pancreatic Oncology, National Cancer Hospital East, Kashiwa, JapanDepartment of Hepatobiliary and Pancreatic Oncology, National Cancer Hospital East, Kashiwa, JapanEndoscopic ultrasound-guided hepaticoesophagostomy (EUS-HES) refers to EUS-guided biliary access from the abdominal part of the esophagus, an uncommon choice of route for biliary drainage. In the patient reported herein, an esophageal laceration and leakage at the site of placement of a metal stent occurred a few days after EUS-HES. To plug the laceration, 0.5 mL of n-butyl-2 cyanoacrylate mixed with 1 mL of lipiodol was injected through an endoscopic retrograde cholangiopancreatography catheter. We performed EUS-guided transgastric drainage for drainage of the peritoneal fluid collection. The procedures were successful and the laceration eventually healed, with no further leakage.https://doi.org/10.18528/ijgii180046Endoscopic ultrasound-guided hepaticoesophagostomyEsophageal leakN-butyl-2 cyanoacrylate
spellingShingle Renma Ito
Yusuke Hashimoto
Masafumi Ikeda
Successful endoscopic closure of an esophageal leak after endoscopic ultrasound-guided hepaticoesophagostomy by using n-butyl-2 cyanoacrylate
International Journal of Gastrointestinal Intervention
Endoscopic ultrasound-guided hepaticoesophagostomy
Esophageal leak
N-butyl-2 cyanoacrylate
title Successful endoscopic closure of an esophageal leak after endoscopic ultrasound-guided hepaticoesophagostomy by using n-butyl-2 cyanoacrylate
title_full Successful endoscopic closure of an esophageal leak after endoscopic ultrasound-guided hepaticoesophagostomy by using n-butyl-2 cyanoacrylate
title_fullStr Successful endoscopic closure of an esophageal leak after endoscopic ultrasound-guided hepaticoesophagostomy by using n-butyl-2 cyanoacrylate
title_full_unstemmed Successful endoscopic closure of an esophageal leak after endoscopic ultrasound-guided hepaticoesophagostomy by using n-butyl-2 cyanoacrylate
title_short Successful endoscopic closure of an esophageal leak after endoscopic ultrasound-guided hepaticoesophagostomy by using n-butyl-2 cyanoacrylate
title_sort successful endoscopic closure of an esophageal leak after endoscopic ultrasound guided hepaticoesophagostomy by using n butyl 2 cyanoacrylate
topic Endoscopic ultrasound-guided hepaticoesophagostomy
Esophageal leak
N-butyl-2 cyanoacrylate
url https://doi.org/10.18528/ijgii180046
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AT yusukehashimoto successfulendoscopicclosureofanesophagealleakafterendoscopicultrasoundguidedhepaticoesophagostomybyusingnbutyl2cyanoacrylate
AT masafumiikeda successfulendoscopicclosureofanesophagealleakafterendoscopicultrasoundguidedhepaticoesophagostomybyusingnbutyl2cyanoacrylate