Treatment of gastrojejunal anastomotic leak with a covered metallic stent

Hyo-Sung Kwak, Jeong-Min Lee, Gong-Yong Jin, Young-Min Han, Doo-Hyun Yang
Hepato-gastroenterology 2003, 50 (49): 62-4
Although the incidence rates of anastomotic leaks after radical gastrectomy in a patient with gastric cancer are generally low, when the complication ensues, morbidity and mortality rates rise, varying between 18% and 30%. We used self-expandable, covered metallic stent to occlude the leakage site in a patient with recurrent postoperative anastomotic leaks. The deployment of the covered stent was successful, and immediate leak occlusion was obtained after the procedure. During follow-up, the patient had unrecognized passage of the stent per rectum and showed no anastomotic leak on upper gastrointestinal series. We suggest that implementation of covered metallic stent should be considered as a valuable, alternative therapeutic option for the treatment of intractable postoperative anastomotic leak after radical gastrectomy.

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