Abstract:
:The incidence of clinically significant anastomotic leaks after upper gastrointestinal surgery is approximately 4 % - 20 %, and the associated mortality can be as high as 80 %. Depending on the clinical presentation, the treatment options are surgery, conservative treatment with external drainage, or endoscopic treatment. This report presents 39 cases of clinically apparent anastomotic leaks or fistulas after surgery for upper gastrointestinal cancers that were treated by endoscopy with insertion of fibrin glue alone (n = 24) or with a combination of Vicryl plug and fibrin glue (n = 15). Thirteen of the 15 patients who underwent Vicryl/fibrin treatments showed complete healing of the anastomotic leak or fistula after one to four sessions. Long-term follow-up results are presented. Postoperative upper gastrointestinal fistulas or anastomotic leaks can be managed successfully with low morbidity by means of endoscopic insertion of Vicryl mesh with fibrin glue, thereby avoiding repeated major surgery and its associated risks.
journal_name
Endoscopyjournal_title
Endoscopyauthors
Böhm G,Mossdorf A,Klink C,Klinge U,Jansen M,Schumpelick V,Truong Sdoi
10.1055/s-0029-1244165subject
Has Abstractpub_date
2010-07-01 00:00:00pages
599-602issue
7eissn
0013-726Xissn
1438-8812journal_volume
42pub_type
杂志文章相关文献
ENDOSCOPY文献大全abstract:BACKGROUND AND STUDY AIMS:Many papers have been published in the field of diagnostic endoscopy in the last few years. However, there are no reports on their quality. The aim of this study was to evaluate quality in recently published endoscopic articles. MATERIALS AND METHODS:The study reviewed published articles on d...
journal_title:Endoscopy
pub_type: 杂志文章,评审
doi:10.1055/s-0029-1243846
更新日期:2010-02-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:To reduce the risk of complications related to the use of knives in endoscopic submucosal dissection (ESD), we developed the Clutch Cutter which can grasp and incise targeted tissue using electrosurgical current, similarly to a biopsy technique. The study aim was to evaluate the efficacy and s...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章
doi:10.1055/s-0033-1344863
更新日期:2013-12-01 00:00:00
abstract::Background and study aims Complete stone removal from the main pancreatic duct might not be achieved in all patients with obstructive chronic calcific pancreatitis. We report our results for endoscopic dorsal pancreatic duct (DPD) bypass of obstructing stones in the ventral pancreatic duct (VPD). Patients and methods ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0042-120996
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Technical difficulties have been experienced in endoscopic hemoclipping on the posterior wall of the body of the stomach because the angle of approach is tangential. It has been suggested that the use of a transparent cap on the tip of the endoscope could help to solve this problem. The purpos...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章
doi:10.1055/s-2003-41512
更新日期:2003-08-01 00:00:00
abstract:BACKGROUND:Endoscopic resection has developed over the years. The main complications are perforation and bleeding. This study aimed to evaluate safety and effectiveness of digestive endoscopic resection in patients with cirrhosis. METHODS:This retrospective, open-label, single-center study included all consecutive pat...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/a-1089-9459
更新日期:2020-04-01 00:00:00
abstract::BACKGROUND AND STUDY AIMS : Current colonoscopy practice requires removal of diminutive polyps. This is associated with costs, but the benefits to colorectal cancer (CRC) prevention remain unclear. The study aim was to understand patients' willingness to defer resection of diminutive polyps and to examine the factors ...
journal_title:Endoscopy
pub_type: 杂志文章,多中心研究
doi:10.1055/s-0043-121221
更新日期:2018-03-01 00:00:00
abstract::Management of esophageal anastomotic leaks is associated with high morbidity and mortality and remains an interdisciplinary challenge. We describe the first two cases of endoscopic closure of postoperative leaks following gastrectomy and primary repair after spontaneous acute esophageal perforation, using the over-the...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0030-1255634
更新日期:2010-09-01 00:00:00
abstract::A percutaneous endoscopic gastrostomy (PEG) was performed in 19 patients with cancers of head or neck. A commercially available gastrostomy set was used, but slight modifications were necessary in 4 patients. No serious complications were observed. The correct position and lack of any leak of gastric contents was veri...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1018358
更新日期:1986-07-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:The methods of endoscopic ablation of metaplastic and dysplastic areas in Barrett's esophagus so far described, are not satisfactory with respect to efficacy and safety. Therefore we investigated whether photodynamic therapy (PDT) with topical delta-aminolevulinic acid (delta-ALA) leads to abl...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2002-33247
更新日期:2002-08-01 00:00:00
abstract::This report describes 2 cases of calcified cavernous transformation of portal vein of unknown etiology. In both cases the revealing symptom was jaundice due to extrinsic compression of the common bile duct by the cavernoma. Only 4 other cases have been previously described in the literature. The cause of the jaundice ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1009120
更新日期:1993-08-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Endoscopic submucosal dissection (ESD) has been developed to overcome the limitations of endoscopic mucosal resection (EMR). We aimed to compare the outcomes of these two methods. METHODS:Databases, including Pubmed, EMBASE, and The Cochrane Library, were searched to identify studies comparin...
journal_title:Endoscopy
pub_type: 杂志文章,meta分析
doi:10.1055/s-0029-1215053
更新日期:2009-09-01 00:00:00
abstract::Advances in interventional radiology have made possible magnetic compression anastomosis between the bile duct and the small intestine as a novel treatment. A 70-year-old man who had undergone subtotal gastrectomy for gastric cancer 2 years previously experienced recurring cholangitis with high fever and jaundice. Dia...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2001-17923
更新日期:2001-11-01 00:00:00
abstract::Endoscopic color photo-documentation has attained a high standard of sophistication through pioneering new technical developments and advances. Nearly all the cavities in the human body can be endoscopically explored by expediently combining appropriate equipment. Suitable endo-instruments for photography, film, and c...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1021708
更新日期:1980-01-01 00:00:00
abstract:: ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/a-0800-8342
更新日期:2019-03-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:The long-term outcome for patients with obscure bleeding after capsule endoscopy (CE) is still unclear. In this study, the clinical outcome was used as the gold standard to determine the sensitivity and specificity of CE and push enteroscopy (PE) in the diagnosis of small-bowel lesions in pati...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2005-861114
更新日期:2005-04-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Gastrectomy with lymph node dissection is the gold standard curative treatment for clinical submucosal invasive early gastric cancer (cSM EGC), but a relatively small number of operable patients with cSM EGC have undergone endoscopic submucosal dissection (ESD) instead because they refused sur...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0032-1325929
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:The Endocuff is a new colonoscopy accessory that has been designed to improve both the adenoma detection rate and endoscope tip control. PATIENTS AND METHODS:A total of 50 Endocuff-assisted colonoscopies were analyzed retrospectively with regard to safety, procedural success, and complication...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0034-1365446
更新日期:2014-07-01 00:00:00
abstract::Seven years have passed since the first report on peroral cholangioscopy by Takekoshi and Takagi (1) in Japan. Recently, several types of peroral cholangioscope with a forceps channel have been made for this treatment. However, the success rate of insertion of these instruments into the common bile duct was less than ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1018522
更新日期:1984-01-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:The role of endoscopic submucosal dissection (ESD) in Barrett's neoplasia is ill-defined, although it might provide a higher curative resection rate and better histologic assessment than endoscopic mucosal resection (EMR). We aimed to assess efficacy, safety, and long-term results of ESD. PAT...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0034-1390982
更新日期:2015-02-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Endoscopic drainage is a widely used treatment modality for pancreatic pseudocysts and has challenged more traditional drainage techniques. This retrospective study evaluates the short-term and long-term results with this technique and aims to identify procedural modifications that may improve...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2005-870336
更新日期:2005-10-01 00:00:00
abstract::Seventy-five patients with sessile adenomas or early carcinomas of the rectum or rectosigmoid were operated on with the new technique "transanal endoscopic microsurgery" Employing a newly developed complex endoscopic operating system, complete removal of sessile adenomas can be accomplished up to a distance of 25 cm f...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1018307
更新日期:1987-11-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:It is difficult to measure the prevalence of hereditary non-polyposis colorectal cancer (HNPCC) in geographical areas that do not have tumor registers, as is the case in the present study, and it was therefore decided to assess the prevalence in Italy using different methods. PATIENTS AND MET...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1055/s-1999-30
更新日期:1999-06-01 00:00:00
abstract::Laparoscopic transcystic cholangioscopy (LTC) in combination with electrohydraulic lithotripsy may be an alternative treatment to ERCP and sphincterotomy in patients with both gallbladder and common bile duct stones undergoing laparoscopic cholecystectomy. Preliminary experience using LTC lithotripsy in 13 cases is re...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1010577
更新日期:1992-11-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Unsedated upper endoscopy is an attractive alternative to conventional sedated endoscopy because it can reduce the cost, complications, and recovery time of the procedure. However, it has not gained widespread acceptance in the United States. A prototype 4-mm-diameter video esophagoscope is av...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1055/s-2005-861476
更新日期:2005-06-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:To improve the prognosis of patients with unresectable, locally advanced bile duct carcinoma, new treatment strategies need to be evaluated. Hyperthermia has been successfully applied as part of multimodal therapy in esophageal and rectal carcinoma. We performed in-vitro and in-vivo experiment...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2000-7380
更新日期:2000-04-01 00:00:00
abstract:BACKGROUND: COVID-19 has dramatically affected gastrointestinal endoscopy practice. We aimed to investigate its impact on procedure types, indications, and findings. METHODS: We retrospectively analyzed endoscopies performed in 15 Dutch hospitals by comparing periods 15 March to 25 June of 2019 and 2020 using the pros...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/a-1272-3788
更新日期:2021-02-01 00:00:00
abstract::A survey of intra-uterine endoscopy over the last years is given showing the increased demand for hysteroscopy for diagnosis and therapy of intra-uterine diseases. Its indications include the search for unknown causes of uterine bleeding or sterility. It is also applied for various therapeutic reasons such as for exam...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0028-1098330
更新日期:1979-05-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Placing small stents in the pancreatic duct at endoscopic retrograde cholangiopancreatography reduces the risk of pancreatitis. However, this practice means that a second procedure might be required to remove the stent, and stents can also damage the duct. The aims of this study were to determ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-966815
更新日期:2007-12-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Despite significant interest from health care authorities, patient organizations, and insurance companies, data on procedural outcome and quality of endoscopic retrograde cholangiopancreatography (ERCP) in general and academic practice are sparse. The aims of this study were to assess procedur...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章
doi:10.1055/s-0034-1391231
更新日期:2015-06-01 00:00:00
abstract::Two cases are reported of perforation of the gut caused by biliary endoprosthesies in the three-year period 1993-1995. The first patient was an 81-year-old man who had perforation of the terminal ileum caused by a straight 10 French/7 cm stent which had been dislodged from the bile duct; he underwent laparotomy but di...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2000-87
更新日期:2000-01-01 00:00:00