Wei Zhang6, Ge Sun2, Hang Zhang3, Edgar Furnee4, Qizhi Liu3, Haifeng Gong3, Peichun Sun5, Wei Zhang6. 1. Department of Gastrointestinal Surgery, Henan Province People's Hospital, China. 2. Department of Colorectal Surgery, Changhai Hospital, Shanghai, China; Department of Surgery, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands. 3. Department of Colorectal Surgery, Changhai Hospital, Shanghai, China. 4. Department of Surgery, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands. 5. Department of Gastrointestinal Surgery, Henan Province People's Hospital, China. Electronic address: sunpeichun@126.com. 6. Department of Colorectal Surgery, Changhai Hospital, Shanghai, China. Electronic address: weizhang2000cn@163.com.
Abstract
INTRODUCTION AND IMPORTANCE: Hemoclips have been used to protect leakage after endoscopic resection of large colorectal polyps or early-staged rectal cancer, or for perforation of the sigmoid colon during colonoscopy. However, endoscopic clips were seldom used to manage anastomotic leakage after low anterior resection of rectal cancer. CASE PRESENTATION: A patient with postoperative anastomotic leakage after low anterior resection for rectal cancer was successfully treated by endoscopic hemoclips under colonoscopic vision after failure of conservative treatment. Postoperative course was uncomplicated and the patient was discharged from the hospital seven days later. CLINICAL DISCUSSION AND CONCLUSION: Endoscopic hemoclips should be considered as an alternative option for the treatment of an anastomotic leakage in cases where conservative treatment has failed. As they are safe and effective for closure, however good bowel preparation and strict inclusion criteria are required.
INTRODUCTION AND IMPORTANCE: Hemoclips have been used to protect leakage after endoscopic resection of large colorectal polyps or early-staged rectal cancer, or for perforation of the sigmoid colon during colonoscopy. However, endoscopic clips were seldom used to manage anastomotic leakage after low anterior resection of rectal cancer. CASE PRESENTATION: A patient with postoperative anastomotic leakage after low anterior resection for rectal cancer was successfully treated by endoscopic hemoclips under colonoscopic vision after failure of conservative treatment. Postoperative course was uncomplicated and the patient was discharged from the hospital seven days later. CLINICAL DISCUSSION AND CONCLUSION: Endoscopic hemoclips should be considered as an alternative option for the treatment of an anastomotic leakage in cases where conservative treatment has failed. As they are safe and effective for closure, however good bowel preparation and strict inclusion criteria are required.