Year 2025 / Volume 117 / Number 10
Letter
Mucosal incision-assisted closure with clips for esophageal anastomotic leak

604-605

DOI: 10.17235/reed.2024.10622/2024

Chen Yuan, Youhong Cao, Yiyang Zhang, Yimin Ma, Fang Wang,

Abstract
A 67-year-old male was admitted to our hospital with a diagnose of a <1-cm clear dehiscence orifice at the gastroesophageal anastomosis. Considering of the cachexia state and the size of fistula, a new endoscopic clipping therapy, called mucosal incision-assisted closure with clips, was performed. The procedure as follows: First, used electrotome to puncture and destroy the epithelium of the fistula mouth. Then, mucosal incision was performed at the the proximal end of the fistula. Finally, one leg of the clip inserted into the dissected mucosa, and another leg was clamped to the fistula’s opposite side to directly close the anastomotic defect. The whole process was finished in just a few minutes. After the operation, adequate nutrition and antibiotic support were given. The patient recovered rapidly and was discharged after 14 days without any complication. This successful case confirmed that mucosal incision-assisted closure with clips is a potentially viable and tight option for sealing esophageal leak, with excellent clamping and closing force.
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References
Müller PC, Morell B, Vetter D, Raptis DA, Kapp JR, Gubler C, Gutschow CA. Preemptive Endoluminal Vacuum Therapy to Reduce Morbidity After Minimally Invasive Ivor Lewis Esophagectomy: Including a Novel Grading System for Postoperative Endoscopic Assessment of GI-Anastomoses. Ann Surg. 2021 Nov 1;274(5):751-757. doi: 10.1097/SLA.0000000000005125. PMID: 34334639.
Rodella L, Laterza E, De Manzoni G, Kind R, Lombardo F, Catalano F, Ricci F, Cordiano C. Endoscopic clipping of anastomotic leakages in esophagogastric surgery. Endoscopy. 1998 Jun;30(5):453-6. doi: 10.1055/s-2007-1001307. PMID: 9693892.
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Yuan C, Cao Y, Zhang Y, Ma Y, Wang F. Mucosal incision-assisted closure with clips for esophageal anastomotic leak. 10622/2024


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Publication history

Received: 29/06/2024

Accepted: 08/11/2024

Online First: 19/11/2024

Published: 10/10/2025

Article revision time: 122 days

Article Online First time: 143 days

Article editing time: 468 days


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