Successful endoscopic management of huge anastomosis site leakage with necrosis after esophagojejunostomy: case series

Abstract Text The aim of study was to show successful endoscopic stenting for the treatment of huge AL-N associated with the presence of intra-abdominal abscess after total gastrectomy with esopahgojejunostomy.

Method A total of 3 patients who was performed with total gastrectomy and esophagojejunostomy between June 2021 and February 2023 at the Soon Chun Hyang University Bucheon Hospital, Rep of Korea developed huge AL-N. All patients received endoscopic therapy with fully covered SEMS by Shim’s technique for AL-N.

Results Overall, the complete AL-N closure rate was 100%. The time from the beginning of endoscopic therapy to complete closure of the AL-N was 9 weeks to 13 weeks.

Conclusions Endoscopic therapy using modified fully covered SEMS is an effective method.

Video  http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/4e26c2bd-f6ad-4a4a-a08e-8dace1c0a597/Uploads/16849_7_Short%20Endocopic%20stenting%20for%20AL%20N%20after%20esophajejunostomy.mp4

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Artikel online veröffentlicht:
27. März 2025