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Differences in examination results of small anastomotic fistula after radical gastrectomy with afterward treatments: A case report
BACKGROUND: Gastrografin 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 anastomo...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9353917/ https://www.ncbi.nlm.nih.gov/pubmed/36157983 http://dx.doi.org/10.12998/wjcc.v10.i21.7609 |
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author | Lu, Chen-Yang Liu, Ya-Li Liu, Kui-Jie Xu, Shu Yao, Hong-Liang Li, Lun Guo, Zhu-Shu |
author_facet | Lu, Chen-Yang Liu, Ya-Li Liu, Kui-Jie Xu, Shu Yao, Hong-Liang Li, Lun Guo, Zhu-Shu |
author_sort | Lu, Chen-Yang |
collection | PubMed |
description | BACKGROUND: Gastrografin 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. CONCLUSION: The 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. |
format | Online Article Text |
id | pubmed-9353917 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-93539172022-09-23 Differences in examination results of small anastomotic fistula after radical gastrectomy with afterward treatments: A case report Lu, Chen-Yang Liu, Ya-Li Liu, Kui-Jie Xu, Shu Yao, Hong-Liang Li, Lun Guo, Zhu-Shu World J Clin Cases Case Report BACKGROUND: Gastrografin 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. CONCLUSION: The 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. Baishideng Publishing Group Inc 2022-07-26 2022-07-26 /pmc/articles/PMC9353917/ /pubmed/36157983 http://dx.doi.org/10.12998/wjcc.v10.i21.7609 Text en ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/ |
spellingShingle | Case Report Lu, Chen-Yang Liu, Ya-Li Liu, Kui-Jie Xu, Shu Yao, Hong-Liang Li, Lun Guo, Zhu-Shu Differences in examination results of small anastomotic fistula after radical gastrectomy with afterward treatments: A case report |
title | Differences in examination results of small anastomotic fistula after radical gastrectomy with afterward treatments: A case report |
title_full | Differences in examination results of small anastomotic fistula after radical gastrectomy with afterward treatments: A case report |
title_fullStr | Differences in examination results of small anastomotic fistula after radical gastrectomy with afterward treatments: A case report |
title_full_unstemmed | Differences in examination results of small anastomotic fistula after radical gastrectomy with afterward treatments: A case report |
title_short | Differences in examination results of small anastomotic fistula after radical gastrectomy with afterward treatments: A case report |
title_sort | differences in examination results of small anastomotic fistula after radical gastrectomy with afterward treatments: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9353917/ https://www.ncbi.nlm.nih.gov/pubmed/36157983 http://dx.doi.org/10.12998/wjcc.v10.i21.7609 |
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