Endoscopy 2025; 57(S 02): S377
DOI: 10.1055/s-0045-1805949
Abstracts | ESGE Days 2025
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Successful endoscopic management of huge anastomosis site leakage with necrosis after esophagojejunostomy: case series

C B Ryu
1   Soonchunhyang University Bucheon Hospital, Bucheon, Republic of Korea
,
C In
2   Department of Surgery, Soon Chun Hyang University of School of Medicine,, Bucheon-si, Republic of Korea
,
J Y Bae
3   Seoul Medical Center, Seoul, Republic of Korea
,
M S Lee
1   Soonchunhyang University Bucheon Hospital, Bucheon, Republic of Korea
› Author Affiliations
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    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


     

    Conflicts of Interest

    Authors do not have any conflict of interest to disclose.

    Publication History

    Article published online:
    27 March 2025

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