BACKGROUND AND STUDY AIMS: @entity834 is a severe complication in gastric surgery and it is associated with a high rate of mortality. Conservative treatment sometimes is not sufficient to stem the leakages and, even when it is sufficient, it takes a long time. The present study describes the first experience in the treatment of @entity834 with endoscopic clipping. @entity1 AND METHODS: From May 1995 to December 1996, seven @entity1 with postoperative @entity834 after gastric surgery were prospectively treated in our Endoscopy Service. @entity1702 ( @entity601 850, Olympus Corp., Tokyo, Japan) with prongs 12 mm long and 6 mm wide were applied, controlling the closure of the leakage by endoscopy, using radiographs to confirm the closure 24 hours later. RESULTS: Complete closure of the leakage was obtained in all seven cases. A single session of endoscopic clipping was needed for five @entity1 while two other required, respectively, two and three sessions. The median time of leakage closure after endoscopic clipping was 2.3 days (range 1-5 days). The clips spontaneously dislodged within 1 month in five @entity1 and within the second month in the other two @entity1 . CONCLUSION: Endoscopic treatment of @entity834 by metallic clips represents a safe and easily repeated method and, compared to conservative treatment, it seems to offer several time and cost advantages. Further studies involving a larger number of @entity1 are needed to verify this finding.

Endoscopic clipping of XXXX in esophagogastric surgery.

@entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity601 :: ('MESH:D009436', 'Disease') :: ['MD'] @entity834 :: ('MESH:D057868', 'Disease') :: ['anastomotic leakages', 'Anastomotic leakage'] @entity1702 :: ('MESH:D013651', 'Disease') :: ['Metallic endoclips']
@entity834 :: (MESH:D057868,Disease) :: ['anastomotic leakages']
