Journal article
Use of Argon Plasma Coagulation and Endoscopic Hemoclips for Postsurgical Gastrointestinal Fistula
Case reports in gastrointestinal medicine, Vol.2020, 8835437
11/11/2020
DOI: 10.1155/2020/8835437
PMCID: PMC7673945
PMID: 33224539
Abstract
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.
Details
- Title: Subtitle
- Use of Argon Plasma Coagulation and Endoscopic Hemoclips for Postsurgical Gastrointestinal Fistula
- Creators
- Abdullah Sohail - West Virginia UniversityAhmad Khan - West Virginia UniversityHamza Shah - Charleston Area Medical CenterRagheb Rezko - West Virginia University
- Resource Type
- Journal article
- Publication Details
- Case reports in gastrointestinal medicine, Vol.2020, 8835437
- Publisher
- Hindawi Publishing Group
- DOI
- 10.1155/2020/8835437
- PMID
- 33224539
- PMCID
- PMC7673945
- ISSN
- 2090-6528
- eISSN
- 2090-6536
- Number of pages
- 6
- Language
- English
- Date published
- 11/11/2020
- Academic Unit
- Internal Medicine
- Record Identifier
- 9984695814902771
Metrics
7 Record Views