Endoscopic management of postoperative upper gastrointestinal leakage
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Anastomotic leakage is a potentially life-threatening adverse event that can occur after gastrectomy or gastric bypass surgery, ranging in severity from minor anastomotic defects to fulminant cases. The management of anastomotic leakage varies according to the time of diagnosis and the severity of the leakage; therefore, some cases can be managed conservatively, while others require urgent exploration. Despite aggressive medical and/ or surgical management, some patients develop sepsis with multiple organ failure, leading to death. Hence, the management of anastomotic leakage imposes a significant burden on hospital resources. Due to the poor success rate of conservative therapy, anastomotic leakage management is usually performed surgically, which is associated with high morbidity and mortality. Given these concerns, non-operative treatment by endoscopic management, which uses sealants, hemoclips, self-expandable metal stents, and vacuum-assisted sponge closure, may be a valid alternative modality. According to recent studies, the results of endoscopic management for postoperative leakage have improved due to developments in instruments. Therefore, endoscopic management can be considered as an appropriate treatment option for properly selected patients with postoperative leakage.
Abstract
Anastomotic leakage is a potentially life-threatening adverse event that can occur after gastrectomy or gastric bypass surgery, ranging in severity from minor anastomotic defects to fulminant cases. The management of anastomotic leakage varies according to the time of diagnosis and the severity of the leakage; therefore, some cases can be managed conservatively, while others require urgent exploration. Despite aggressive medical and/ or surgical management, some patients develop sepsis with multiple organ failure, leading to death. Hence, the management of anastomotic leakage imposes a significant burden on hospital resources. Due to the poor success rate of conservative therapy, anastomotic leakage management is usually performed surgically, which is associated with high morbidity and mortality. Given these concerns, non-operative treatment by endoscopic management, which uses sealants, hemoclips, self-expandable metal stents, and vacuum-assisted sponge closure, may be a valid alternative modality. According to recent studies, the results of endoscopic management for postoperative leakage have improved due to developments in instruments. Therefore, endoscopic management can be considered as an appropriate treatment option for properly selected patients with postoperative leakage.
참고문헌 (49)
- Jurowich C, "Gastric leakage after sleeve gastrectomy-clinical presentation and therapeutic options", Langenbecks Arch Surg, 396, pp.981~987 (2011)
- Kumar N, "Endoscopic management of complications after gastrointestinal weight loss surgery", Clin Gastroenterol Hepatol, 11, pp.343~353 (2013)
- Lee S, "Effect of location and speed of diagnosis on anastomotic leak outcomes in 3828 gastric bypass cases", J Gastrointest Surg, 11, pp.708~713 (2007)
- Carucci LR, "Rouxen-Y gastric bypass surgery for morbid obesity : evaluation of postoperative extraluminal leaks with upper gastrointestinal series", Radiology, 238, pp.119~127 (2006)
- Almahmeed T, "Morbidity of anastomotic leaks in patients undergoing Roux-en-Y gastric bypass", Arch Surg, 142, pp.954~957 (2007)
- Jemal A, "Global cancer statistics", CA Cancer J Clin, 61, pp.69~90 (2011)
- Kim KH, "Risk factors for duodenal stump leakage after gastrectomy for gastric cancer and management technique of stump leakage", Hepatogastroenterology, 61, pp.1446~1453 (2014)
- Aurello P, "Management of duodenal stump fistula after gastrectomy for gastric cancer : systematic review", World J Gastroenterol, 21, pp.7571~7576 (2015)
- Karliczek A, "Surgeons lack predictive accuracy for anastomotic leakage in gastrointestinal surgery", Int J Colorectal Dis, 24, pp.569~576 (2009)
- Lang H, "Management and results of proximal anastomotic leaks in a series of 1114 total gastrectomies for gastric carcinoma", Eur J Surg Oncol, 26, pp.168~171 (2000)
- Oh SJ, "Complications requiring reoperation after gastrectomy for gastric cancer : 17 years experience in a single institute", J Gastrointest Surg, 13, pp.239~245 (2009)
- Lee S, "Clinical outcomes of postoperative upper gastrointestinal leakage according to treatment modality", Dig Dis Sci, 61, pp.523~532 (2016)
- Raju GS, "Endoscopic management of gastrointestinal leaks", Gastrointest Endosc Clin N Am, 17, pp.487~503 (2007)
- Gonzalez R, "Diagnosis and contemporary management of anastomotic leaks after gastric bypass for obesity", J Am Coll Surg, 204, pp.47~55 (2007)
- Warschkow R, "Creactive protein 2 days after laparoscopic gastric bypass surgery reliably indicates leaks and moderately predicts morbidity", J Gastrointest Surg, 16, pp.1128~1135 (2012)
- Singh R, "Sensitivity and specificity of postoperative upper GI series following gastric bypass", Obes Surg, 13, pp.73~75 (2003)
- Ganci-Cerrud G, "Role of radiologic contrast studies in the early postoperative period after bariatric surgery", Obes Surg, 9, pp.532~534 (1999)
- Yu J, "Normal anatomy and complications after gastric bypass surgery : helical CT findings", Radiology, 231, pp.753~760 (2004)
- Durak E, "Incidence and management of enteric leaks after gastric bypass for morbid obesity during a 10-year period", Surg Obes Relat Dis, 4, pp.389~393 (2008)
- Lee S, "Clinical outcomes of endoscopic and surgical management for postoperative upper gastrointestinal leakage", Surg Endosc, 27, pp.4232~4240 (2013)
- Bège T, "An endoscopic strategy for management of anastomotic complications from bariatric surgery : a prospective study", Gastrointest Endosc, 73, pp.238~244 (2011)
- Rodella L, "Endoscopic clipping of anastomotic leakages in esophagogastric surgery", Endoscopy, 30, pp.453~456 (1998)
- Raju GS, "Endoscopic closure of gastrointestinal leaks", Am J Gastroenterol, 104, pp.1315~1320 (2009)
- Salminen P, "Use of self-expandable metal stents for the treatment of esophageal perforations and anastomotic leaks", Surg Endosc, 23, pp.1526~1530 (2009)
- Lippert E, "Fibrin glue in the endoscopic treatment of fistulae and anastomotic leakages of the gastrointestinal tract", Int J Colorectal Dis, 26, pp.303~311 (2011)
- Wedemeyer J, "Endoscopic vacuum-assisted closure of upper intestinal anastomotic leaks", Gastrointest Endosc, 67, pp.708~711 (2008)
- Pross M, "Endoscopic treatment of clinically symptomatic leaks of thoracic esophageal anastomoses", Gastrointest Endosc, 51, pp.73~76 (2000)
- Truong S, "Results after endoscopic treatment of postoperative upper gastrointestinal fistulas and leaks using combined Vicryl plug and fibrin glue", Surg Endosc, 18, pp.1105~1108 (2004)
- Hwang TL, "Randomized trial of fibrin tissue glue for low output enterocutaneous fistula", Br J Surg, 83, pp.112~ (1996)
- Lee YC, "Three cases of fistulae arising from gastrointestinal tract treated with endoscopic injection of Histoacryl", Endoscopy, 33, pp.184~186 (2001)
- Van Bodegraven AA, "Esophagopleural fistula treated endoscopically with argon beam electrocoagulation and clips", Gastrointest Endosc, 50, pp.407~409 (1999)
- Raymer GS, "Endoscopic clip application as an adjunct to closure of mature esophageal perforation with fistulae", Clin Gastroenterol Hepatol, 1, pp.44~50 (2003)
- Wehrmann T, "Endoscopic debridement of paraesophageal, mediastinal abscesses : a prospective case series", Gastrointest Endosc, 62, pp.344~349 (2005)
- Mizobuchi S, "Endoscopic clip application for closure of an esophagomediastinal-tracheal fistula after surgery for esophageal cancer", Gastrointest Endosc, 57, pp.962~965 (2003)
- Eisendrath P, "Endotherapy including temporary stenting of fistulas of the upper gastrointestinal tract after laparoscopic bariatric surgery", Endoscopy, 39, pp.625~630 (2007)
- Choi CW, "Full covered selfexpandable metal stents for the treatment of anastomotic leak using a silk thread", Medicine(Baltimore), 96, pp.e7439~ (2017)
- Gomez-Esquivel R, "Endoscopic closure of acute esophageal perforations", Curr Gastroenterol Rep, 15, pp.321~ (2013)
- Ahrens M, "Drainage of esophageal leakage using endoscopic vacuum therapy : a prospective pilot study", Endoscopy, 42, pp.693~698 (2010)
- Van Koperen PJ, "Endosponge treatment of anastomotic leakage after ileo-anal pouch anastomosis : report of two cases", Colorectal Dis, 10, pp.943~944 (2008)
- Glitsch A, "Endoscopic transanal vacuum-assisted rectal drainage(ETVARD) : an optimized therapy for major leaks from extraperitoneal rectal anastomoses", Endoscopy, 40, pp.192~199 (2008)
- Noh SM, "Endoscopic vacuum-assisted closure therapy in patients with anastomotic leakage after esophagectomy : a single-center experience", Gastroenterol Res Pract, 2018, pp.1697968~ (2018)
- Choi Soo In, "Efficacy of Endoscopic Vacuum-Assisted Closure Treatment for Postoperative Anastomotic Leak in Gastric Cancer", Gut and Liver, 14(6), pp.746~754 (2020), 거트앤리버 소화기연관학회협의회[DOI]
- Hwang JJ, "Comparison of endoscopic vacuum therapy and endoscopic stent implantation with self-expandable metal stent in treating postsurgical gastroesophageal leakage", Medicine(Baltimore), 95, pp.e3416~ (2016)
- Jung DH, "Endoscopic vacuum therapy for the management of upper GI leaks and perforations : a multicenter retrospective study of factors associated with treatment failure(with video)", Gastrointest Endosc, 95, pp.281~290 (2022)
- Overcash WT, "Natural orifice surgery(NOS)using StomaphyX for repair of gastric leaks after bariatric revisions", Obes Surg, 18, pp.882~885 (2008)
- Fernandez-Esparrach G, "Endoscopic repair of gastrogastric fistula after Roux-en-Y gastric bypass : a less-invasive approach", Surg Obes Relat Dis, 6, pp.282~288 (2010)
- Kumbhari V, "Closure of a persistent gastric leak using a cardiac septal occluder", Endoscopy, 46(Suppl 1), pp.E147~8 (2014)
- Wiest R, "Use of a cardiac occluder for closure of a complex gastric leak after bariatric surgery", Endoscopy, 46(Suppl 1), pp.E487~8 (2014)
- Cardoso E, "Use of cardiac septal occluder device on upper GI anastomotic dehiscences : a new endoscopic approach(with video)", Gastrointest Endosc, 76, pp.1255~1258 (2012)