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J Thorac Cardiovasc Surg 2009;137:766-767
© 2009 The American Association for Thoracic Surgery

Brief Communication

Treatment of anastomotic leaks after esophagectomy with endoscopic hemoclips

^a Department of Medicine, Karadeniz Technical University, Trabzon, Turkey
^b Department of Internal Medicine, Karadeniz Technical University, Trabzon, Turkey
^c Department of General Surgery, Karadeniz Technical University, Trabzon, Turkey

Received for publication December 1, 2007; accepted for publication January 20, 2008.

^_* Address for reprints: Celal Tekinbas, MD, Karadeniz Teknik Üniversitesi, Tp Fakültesi, Göüs Cerrahisi AD, 61080 Trabzon, Turkey. (Email: celaltekinbas3@hotmail.com).

The first 20% of the full text of this article appears below.

Mortality and morbidity levels following esophageal resection are high.¹ Anastomotic leaks are a major cause of this morbidity and mortality.² Early and appropriate treatment is essential. Various methods and techniques are employed for fistula closure, including aggressive surgery, esophageal T-tube drainage, esophageal stent, and conservative management. Yet there is still much controversy on the best form of treatment.^1-3 Esophageal clips are increasingly being used for the treatment of benign esophageal diseases such as perforations. These are easy to insert and remove, and good outcomes have been reported.⁴ To the best of our knowledge, there are no previous reports concerning the use of endoscopic clips in the closing of esophageal anastomotic fistulae. We describe a case of early postoperative esophageal anastomotic leak treated using . . . [Full Text of this Article]