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Dergiler / Journal of Experimental and Clinical Medicine / 2026 / Volume: 38 Issue: 3

Endoscopic vacuum assisted closure of gastrocutaneous fistula after sleeve gastrectomy combined with fibrin sealant

Jaroslaw Cwalinski(Department of General, Endocrinological Surgery and Gastroenterological Oncology, Poznan University of Medical Sciences, Poland)0000-0001-8606-9495
Jacek Hermann(Department of General, Endocrinological Surgery and Gastroenterological Oncology Poznan University of Medical Sciences, Poland)0000-0001-7236-0409
Jacek Paszkowski(Department of General, Endocrinological Surgery and Gastroenterological Oncology Poznan University of Medical Sciences, Poland)0000-0002-0484-6981
Tomasz Banasiewicz(Department of General, Endocrinological Surgery and Gastroenterological Oncology Poznan University of Medical Sciences, Poland)0000-0003-2809-6940
Sayfa
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Yayın Tarihi
2021-05-01
DOI
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Yapay Zeka Hızlı Bakış & Çıkarımlar

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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Complete closure of the fistula was visualized on gastroscopy 6 weeks after the treatment.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Treatment of gastrointestinal fistulas after staple line leaks is difficult and non-invasive procedures such as endoclips, stents or endoscopic vacuum assisted closure (E-VAC) are sometimes not adequate.
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Temel Bulgular & Veri:The authors present a 37-year old female patient who developed a chronic gastrocutaneous fistula after sleeve gastrectomy for severe obesity treated successfully with a combination of E-VAC and a fibrin sealant.
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Sonuç & Katkı:Complete closure of the fistula was visualized on gastroscopy 6 weeks after the treatment.
🔬Tür:Case Report
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:E-VAC · tissue sealant · gastrocutaneous fistua

Abstract

Treatment of gastrointestinal fistulas after staple line leaks is difficult and non-invasive procedures such as endoclips, stents or endoscopic vacuum assisted closure (E-VAC) are sometimes not adequate. Fibrin sealants (FS) may promote healing, although today are used mainly to prevent anastomosis dehiscence within digestive tract. The authors present a 37-year old female patient who developed a chronic gastrocutaneous fistula after sleeve gastrectomy for severe obesity treated successfully with a combination of E-VAC and a fibrin sealant. Long term peritoneal drainage, total parenteral nutrition, and antibiotic therapy for the next six weeks failed to close the leakage. Ultimately the fistula was closed after 6 changes of E-VAC and final implementation of a fibrin sealant. The duration of treatment was 81 days, including 34 days of E-VAC treatment and FS application. Complete closure of the fistula was visualized on gastroscopy 6 weeks after the treatment.

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Bu Makaleye Atıf Yap

Cwalinski, J., Hermann, J., Paszkowski, J., Banasiewicz, T. (2021). Endoscopic vacuum assisted closure of gastrocutaneous fistula after sleeve gastrectomy combined with fibrin sealant. Journal of Experimental and Clinical Medicine, Volume: 38 Issue: 3. https://ajindex.com/articles/1423272

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Kaynakça (16)

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