Evidence map›Paper›PMID 36157983›Full record

ArticleWorld journal of clinical cases2022

Differences in examination results of small anastomotic fistula after radical gastrectomy with afterward treatments: A case report.

Chen-Yang Lu, Ya-Li Liu, Kui-Jie Liu, Shu Xu, Hong-Liang Yao, Lun Li, Zhu-Shu Guo

Abstract readCase Reports
PubMed Full text at PMC Publisher
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Article in World journal of clinical cases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Chen-Yang LuDepartment of Pulmonary and Critical Care Medicine, The Second Xiangya Hospital of Central South University, Central South University, Changsha 410011, Hunan Province, China.
Ya-Li LiuDepartment of General Surgery, The Second Xiangya Hospital of Central South University, Central South University, Changsha 410011, Hunan Province, China.
Kui-Jie LiuDepartment of General Surgery, The Second Xiangya Hospital of Central South University, Central South University, Changsha 410011, Hunan Province, China.
Shu XuDepartment of General Surgery, The Second Xiangya Hospital of Central South University, Central South University, Changsha 410011, Hunan Province, China.
Hong-Liang YaoDepartment of General Surgery, The Second Xiangya Hospital of Central South University, Central South University, Changsha 410011, Hunan Province, China.
Lun LiDepartment of General Surgery, The Second Xiangya Hospital of Central South University, Central South University, Changsha 410011, Hunan Province, China.
Zhu-Shu GuoDepartment of General Surgery, The Second Xiangya Hospital of Central South University, Central South University, Changsha 410011, Hunan Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGastrografin swallow, methylthioninium chloride test, and computed tomography (CT) are the main methods for postoperative anastomotic fistula detection. Correct selection and application of examinations and therapies are significant for the early diagnosis and treatment of small anastomotic fistulas after radical gastrectomy, which are conducive to postoperative recovery. CASE SUMMARY: A 44-year-old woman underwent radical total gastrectomy for laparoscopic gastric cancer. The patient developed a fever after surgery. The methylthioninium chloride test and early CT suggested no anastomotic fistula, but gastrografin swallow and late CT showed the opposite result. The fistula was successfully closed using an endoscopic clip. The methylthioninium chloride test, gastrografin, and CT performed on different postoperative dates for small esophagojejunostomy fistulas are different. The size of the anastomotic fistula is an important factor for the success of endoscopic treatment.

conclusionThe advantages and limitations of the diagnosis of different examinations of small esophagojejunostomy fistulas are noteworthy. The size of the leakage of the anastomosis is an important basis for selecting the repair method.

Indexed as

Anastomotic leakCase reportEsophagojejunal anastomotic fistulaGastrectomyGastrografinLaparoscopicMethylthioninium chloride

Identifiers

PMID36157983
PMCPMC9353917

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