caa a22 4500 60620430X CHVBK 20210128101001.0 cr unu---uuuuu 210128e20150701xx s 000 0 eng 10.1007/s10388-014-0461-5 doi (NATIONALLICENCE)springer-10.1007/s10388-014-0461-5 Endoscopic gluing for intrathoracic anastomotic fistula following esophagectomy: a case report [Elektronische Daten] [Minoru Fukuchi, Kana Saito, Hiroshi Naitoh, Hiroyuki Kuwano] Intrathoracic anastomotic leak/fistula following esophagectomy is a serious complication of this surgery. Patients are often extremely ill; endoscopic procedures have been suggested to avoid further surgical intervention. We herein present a case of a post-esophagectomy intrathoracic anastomotic fistula treated successfully with endoscopic gluing using N-butyl-2-cyanoacrylate. A 74-year-old Japanese woman was admitted to our hospital for treatment of a tumor of the esophagogastric junction. We performed distal esophagectomy, total gastrectomy via a left thoracotomy and laparotomy. Leakage at the esophagojejunostomy site was diagnosed on postoperative day 2. This leak gradually developed into a fistula through the drainage site. Because we judged the anastomotic fistula to be intractable by conservative treatment, we successfully closed the fistula by endoscopic gluing on postoperative day 44. This novel procedure shows that anastomotic fistula following esophagectomy can be sealed safely and effectively by endoscopic injection of N-butyl-2-cyanoacrylate glue. The Japan Esophageal Society and Springer Japan, 2014 Esophagectomy nationallicence Anastomotic fistula nationallicence Endoscopic gluing nationallicence Fukuchi Minoru Department of Surgery, Gunma Chuo Hospital, 1-7-13 Kouun-cho, 371-0025, Maebashi, Gunma, Japan aut Saito Kana Department of Surgery, Gunma Chuo Hospital, 1-7-13 Kouun-cho, 371-0025, Maebashi, Gunma, Japan aut Naitoh Hiroshi Department of Surgery, Gunma Chuo Hospital, 1-7-13 Kouun-cho, 371-0025, Maebashi, Gunma, Japan aut Kuwano Hiroyuki Department of General Surgical Science, Gunma University Graduate School of Medicine, 371-8511, Maebashi, Japan aut Esophagus Springer Japan 12/3(2015-07-01), 332-335 1612-9059 12:3<332 2015 12 10388 https://doi.org/10.1007/s10388-014-0461-5 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10388-014-0461-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Fukuchi Minoru Department of Surgery, Gunma Chuo Hospital, 1-7-13 Kouun-cho, 371-0025, Maebashi, Gunma, Japan aut NATIONALLICENCE 700 1- Saito Kana Department of Surgery, Gunma Chuo Hospital, 1-7-13 Kouun-cho, 371-0025, Maebashi, Gunma, Japan aut NATIONALLICENCE 700 1- Naitoh Hiroshi Department of Surgery, Gunma Chuo Hospital, 1-7-13 Kouun-cho, 371-0025, Maebashi, Gunma, Japan aut NATIONALLICENCE 700 1- Kuwano Hiroyuki Department of General Surgical Science, Gunma University Graduate School of Medicine, 371-8511, Maebashi, Japan aut NATIONALLICENCE 773 0- Esophagus Springer Japan 12/3(2015-07-01), 332-335 1612-9059 12:3<332 2015 12 10388