Use of Argon Plasma Coagulation and Endoscopic Hemoclips for Postsurgical Gastrointestinal Fistula
A 72-year-old male was diagnosed with a duodenal mass and underwent extensive surgical resection. The patient’s post-op course was complicated by an anastomotic leak that was first treated conservatively; however, his condition continued to deteriorate. An upper endoscopy was performed, which showed...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2020/8835437 |
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| _version_ | 1832560075486527488 |
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| author | Abdullah Sohail Ahmad Khan Hamza Shah Ragheb Rezko |
| author_facet | Abdullah Sohail Ahmad Khan Hamza Shah Ragheb Rezko |
| author_sort | Abdullah Sohail |
| collection | DOAJ |
| description | A 72-year-old male was diagnosed with a duodenal mass and underwent extensive surgical resection. The patient’s post-op course was complicated by an anastomotic leak that was first treated conservatively; however, his condition continued to deteriorate. An upper endoscopy was performed, which showed misplacement of drain forming a fistulous track through the lumen of the bowel. We removed the drain and used argon plasma coagulation to de-epithelize the lumen and closed the fistula with hemostasis clips. The patient’s clinical status improved significantly. Our case emphasizes the success of endoscopic techniques as an alternative option in the management of postsurgical anastomotic leaks and fistulas in the right clinical setting and patient population. |
| format | Article |
| id | doaj-art-eaee01c21fbe43059716af76408b0e92 |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-eaee01c21fbe43059716af76408b0e922025-02-03T01:28:35ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362020-01-01202010.1155/2020/88354378835437Use of Argon Plasma Coagulation and Endoscopic Hemoclips for Postsurgical Gastrointestinal FistulaAbdullah Sohail0Ahmad Khan1Hamza Shah2Ragheb Rezko3West Virginia University Charleston Division, Charleston, West Virginia, USAWest Virginia University Charleston Division, Charleston, West Virginia, USACharleston Area Medical Center, Charleston, West Virginia, USAWest Virginia University, Morgantown, West Virginia, USAA 72-year-old male was diagnosed with a duodenal mass and underwent extensive surgical resection. The patient’s post-op course was complicated by an anastomotic leak that was first treated conservatively; however, his condition continued to deteriorate. An upper endoscopy was performed, which showed misplacement of drain forming a fistulous track through the lumen of the bowel. We removed the drain and used argon plasma coagulation to de-epithelize the lumen and closed the fistula with hemostasis clips. The patient’s clinical status improved significantly. Our case emphasizes the success of endoscopic techniques as an alternative option in the management of postsurgical anastomotic leaks and fistulas in the right clinical setting and patient population.http://dx.doi.org/10.1155/2020/8835437 |
| spellingShingle | Abdullah Sohail Ahmad Khan Hamza Shah Ragheb Rezko Use of Argon Plasma Coagulation and Endoscopic Hemoclips for Postsurgical Gastrointestinal Fistula Case Reports in Gastrointestinal Medicine |
| title | Use of Argon Plasma Coagulation and Endoscopic Hemoclips for Postsurgical Gastrointestinal Fistula |
| title_full | Use of Argon Plasma Coagulation and Endoscopic Hemoclips for Postsurgical Gastrointestinal Fistula |
| title_fullStr | Use of Argon Plasma Coagulation and Endoscopic Hemoclips for Postsurgical Gastrointestinal Fistula |
| title_full_unstemmed | Use of Argon Plasma Coagulation and Endoscopic Hemoclips for Postsurgical Gastrointestinal Fistula |
| title_short | Use of Argon Plasma Coagulation and Endoscopic Hemoclips for Postsurgical Gastrointestinal Fistula |
| title_sort | use of argon plasma coagulation and endoscopic hemoclips for postsurgical gastrointestinal fistula |
| url | http://dx.doi.org/10.1155/2020/8835437 |
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