Korean J Gastrointest Endosc > Volume 37(1); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;37(1): 30-34.
식도-공장 문합술 후 생긴 수입각 유출의 내시경적 봉합술 1예
박세우ㆍ이항락ㆍ안성은ㆍ박소연ㆍ이오영ㆍ윤병철ㆍ최호순ㆍ함준수
한양대학교 의과대학 내과학교실
A Case of Successful Endoscopic Management of Afferent Loop Leakages by Using Hemoclips and a Detachable Snare
Se Woo Park, M.D., Hang Lak Lee, M.D., Seong Eun Ahn, M.D., So Yeun Park, M.D., Oh Young Lee, M.D., Byung Chul Youn, M.D., Ho Soon Choi, M.D. and Jun Soo Hahm, M.D.
Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea
Abstract
There are many complications following gastrectomy and one of the most frequent complications is anastomosis site leakage. Postoperative leakage is a serious complication in patients after they undergo gastric surgery. It can lead to the progressive deterioration in the patient's condition and quality of life and the mortality rate is nearly 60%. We encountered a case of a 75 year-old man who had the leakage of the jejunal end of the Roux limb after total gastrectomy. We performed treatment of the leakage endoscopic clipping and detachable snaring. Hemoclips were fixed at the margin of both sides of the lesion. A detachable snare was used to bind both hemoclips, so the interval was made narrow. After snare binding, five hemoclips were used for final closure of the small interval. After treatment, the leakage of the afferent loop end was completely stopped. He resumed an oral intake and was discharged without complications. (Korean J Gastrointest Endosc 2008;37:30-34)
Key Words: Afferent loop leakage, Detachable snare, Hemoclip
주요어: 수입각 유출, 박리성 올가미, 금속 클립
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