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English"INTRODUCTION: Management of postoperative esophagojejunal anastomotic leakage after total gastrectomy represents a very challenging event. Surgical repair is difficult, and conservative treatment can predispose to more severe complications. Endoclips and self-expanding stents are useful endoscopic therapeutic options but present some drawbacks. The Over-The-Scope-Clip (OTSC) system has been shown to be appropriate to close acute small gastrointestinal perforations, but its use in the treatment of chronic leakage remains controversial.. . CASE SERIES: The present series reports three consecutive chronic esophagojejunal anastomotic leaks successfully treated with OTSC. In all cases, clip application was simple, safe and effective, without early and late complications.. . DISCUSSION: The OTSC system may represent a new therapeutic option in the management of postoperative esophagojejunal anastomotic leakage.. . "
| Titolo: | The over-the-scope-clip (OTSC) system is effective in the treatment of chronic esophago-jejunal anastomotic leakage |
| Autori: | |
| Data di pubblicazione: | 2012 |
| Rivista: | |
| Abstract: | "INTRODUCTION: Management of postoperative esophagojejunal anastomotic leakage after total gastrectomy represents a very challenging event. Surgical repair is difficult, and conservative treatment can predispose to more severe complications. Endoclips and self-expanding stents are useful endoscopic therapeutic options but present some drawbacks. The Over-The-Scope-Clip (OTSC) system has been shown to be appropriate to close acute small gastrointestinal perforations, but its use in the treatment of chronic leakage remains controversial.. . CASE SERIES: The present series reports three consecutive chronic esophagojejunal anastomotic leaks successfully treated with OTSC. In all cases, clip application was simple, safe and effective, without early and late complications.. . DISCUSSION: The OTSC system may represent a new therapeutic option in the management of postoperative esophagojejunal anastomotic leakage.. . " |
| Handle: | http://hdl.handle.net/11591/320858 |
| Appare nelle tipologie: | 1.1 Articolo in rivista |
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