JOURNAL ARTICLE

[Therapy options for postoperative fistulas of the upper gastrointestinal tract]

M Pross, T Manger, L Mirow, I Mirow, H Lippert
Zentralblatt Für Chirurgie 1999, 124: 45-6
10544476
The mortality of anastomotic leakage following esophageal reconstruction has been reported to be as high as 60%. For the treatment of these dehiscences the use of endoscopy is a tempting option. The standard treatment consisted of endoscopic lavage, drainage and subsequent closure of the leak by application of fibrin glue. 2 patients was tried with a novel approach permitting rapid closure by plugging the fistula with a vicryl cylinder. Endoscopic management of postoperative leaks of the upper gastrointestinal tract represents a safe and relatively gentle therapeutic option.

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