Uncommon cause of early postoperative colonic fistula successfully treated with endoscopic acrylate glue injection.

摘要

Endoscopic treatment of postoperative GI fistulas is increasingly popular and can help selected patients avoid surgery. The use of endoclips or injection of tissue adhesives have been reported. We hereby report a rare cause of early postoperative colorectal leakage successfully treated with endoscopic acrylate glue injection. To our knowledge, this is the first report of such treatment. Postoperative fistulas in the GI tract represent an important cause of morbidity and usually require surgical treatment. In selected patients, endoscopic therapy can successfully seal the parietal defect, which leads to a positive outcome. Endoscopic treatment of postoperative fistulas was reported in both the upper and lower GI tract, as well as in case of pancreatic and biliary fistulas. Methods of endoscopic sealing of GI fistulas include the application of endoclips; injection of tissue adhesives, such as fibrin glue or acrylate glues; and insertion of covered stents. We hereby report a case of early postoperative colorectal fistula successfully treated with acrylate glue injection.