Surgery is the most effective and widely used in the curative treatment of gastric cancer. Anastomotic leaks after gastrectomy are a serious cause of morbidity and mortality. Anastomotic leakage is not a rare complication. It has been reported that it can be seen at a rate of 7.5% after upper gastrointestinal system surgery [1]. It has been reported that anastomotic leakage is the most common cause of mortality in the perioperative period [1]. The use of surgical methods in the treatment of anastomotic leakage is gradually decreasing. Endoscopic clip, fibrin glue, stent, and endoscopic vacuum-assisted closure are non-operative methods.

References

1. Ciesielski M., et al. “Analysis of postoperative morbidity and mortality following surgery for gastric cancer. Surgeon volume as the most significant prognostic factor”. Przeglad Gastroenterologiczny 12 (2017): 215-221.
2. Langer FB., et al. “Management of postoperative esophageal leaks with the Polyflex self-expanding covered plastic stent”. The Annals of Thoracic Surgery 2 (2005): 398-403.
3. Kamarajah SK., et al. “Critical Appraisal of the Impact of Oesophageal Stents in the Management of Oesophageal Anastomotic Leaks and Benign Oesophageal Perforations: An Updated Systematic Review”. World Journal of Surgery4 (2020): 1173-1189.
4. Choi SI., et al. “Efficacy of Endoscopic Vacuum-Assisted Closure Treatment for Postoperative Anastomotic Leak in Gastric Cancer”. Gut Liver6 (2020): 746-754.

Citation

Citation: Bulent Koca. “Non-surgical Treatment Methods of Esophagojejunustomy Leak in Patients with Gastric Cancer”. Acta Scientific Gastrointestinal Disorders 4.11 (2021): 05.

Copyright

Copyright: © 2021 Bulent Koca. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.