Endoscopic salvage treatment of histoacryl after stent application on the anastomotic leak after gastrectomy: A case report

Figure 1 Anastomotic leak after gastrectomy and subsequent histoacryl injection using fluoroscopy and catheter after failed stent application. A: A 4 mm diameter leak was identified at the esophago-gastric anastomotic site; B: A leak (arrow) still existed 3 d after stent application; C: Estimating the location using previous radiocontrast study, the catheter was introduced into sinus tract after puncturing stent membrane (arrow), then it was filled with histoacryl.

Figure 2 Contrast examinations finding after 1 mo after injection of histoacryl to the leak after puncture the stent membrane. A: The leak was obliterated with histoacryl; B: Endoscopy after stent removal showed remnant histoacryl (arrow) and complete closure.