PT  - JOURNAL ARTICLE
AU  - Roy, Chloe
AU  - Tamura, Ryo
AU  - McDonald, Leigh
AU  - Gabra, Hany
TI  - Successful management of anastomotic leakage with endoscopic fibrin glue injection after primary repair of pure oesophageal atresia
AID  - 10.1136/bcr-2020-238823
DP  - 2021 Jan 01
TA  - BMJ Case Reports
PG  - e238823
VI  - 14
IP  - 1
4099  - http://casereports.bmj.com/content/14/1/e238823.short
4100  - http://casereports.bmj.com/content/14/1/e238823.full
SO  - BMJ Case Reports2021 Jan 01; 14
AB  - Anastomotic leakage (AL) occurs in 15% of cases of primary repair of oesophageal atresia. Urgent surgery is indicated in cases of complete anastomotic separation or severe mediastinitis. Otherwise, conservative management including keeping the patient nil per os (NPO), feeding via transanastomotic tube and prolonged parenteral nutrition, has been widely accepted as it can avoid multiple surgeries in neonates and allow oesophageal continuity to be preserved. However, complications relating to prolonged feeding tube use are common downsides to this approach and the negative impact of prolonged NPO on mastication and swallowing function cannot be ignored.In this case report, a novel approach for the treatment of AL with fibrin glue is reported, following primary repair of oesophageal atresia. It was endoscopically injected into the leakage site to enhance healing and early closure. This procedure was safely performed and achieved early establishment of oral feeding.