Triamcinolone Injection and Shielding with Polyglycolic Acid Sheets and Fibrin Glue for Postoperative Stricture Prevention after Esophageal Endoscopic Resection: A Pilot Study

2016 ◽  
Vol 111 (4) ◽  
pp. 581-583 ◽  
Author(s):  
Yoshiki Sakaguchi ◽  
Yosuke Tsuji ◽  
Mitsuhiro Fujishiro ◽  
Yosuke Kataoka ◽  
Chihiro Takeuchi ◽  
...  
Keyword(s):  
Pilot Study ◽  
Fibrin Glue ◽  
Endoscopic Resection ◽  
Polyglycolic Acid ◽  
Triamcinolone Injection

Endoscopic tissue shielding with polyglycolic acid sheets, fibrin glue and clips to prevent delayed perforation after duodenal endoscopic resection

2014 ◽  
Vol 26 ◽  
pp. 41-45 ◽  
Author(s):  
Hisashi Doyama ◽  
Kei Tominaga ◽  
Naohiro Yoshida ◽  
Kenichi Takemura ◽  
Shinya Yamada
Keyword(s):  
Fibrin Glue ◽  
Endoscopic Resection ◽  
Polyglycolic Acid ◽  
Delayed Perforation

scholarly journals Usefulness of Polyglycolic acid (PGA) sheets and fibrin glue treatment for duodenal endoscopic resection

2015 ◽  
Vol 87 (1) ◽  
pp. 150-151
Author(s):  
Masakazu Abe ◽  
Chika Kusano ◽  
Sho Suzuki ◽  
Mikinori Koga ◽  
Shin Kono ◽  
...  
Keyword(s):  
Fibrin Glue ◽  
Endoscopic Resection ◽  
Polyglycolic Acid

scholarly journals Endoscopic closure of refractory esophageal fistula after esophagectomy using polyglycolic acid sheets: a pilot study

2020 ◽  
Vol 08 (05) ◽  
pp. E591-E595 ◽  
Author(s):  
Yasuaki Nagami ◽  
Masaki Ominami ◽  
Taishi Sakai ◽  
Shusei Fukunaga ◽  
Fumio Tanaka ◽  
...  
Keyword(s):  
Pilot Study ◽  
Adverse Events ◽  
Fibrin Glue ◽  
Polyglycolic Acid ◽  
Poor Quality ◽  
Esophageal Fistula ◽  
Fistula Closure ◽  
Prospective Pilot Study ◽  
Endoscopic Closure

Abstract Background and study aims Esophageal fistulas after esophagectomy are associated with high mortality and poor quality of life. They are sometimes intractable to conservative management and surgery that increases mortality. Few studies have assessed use of polyglycolic acid (PGA) sheets with fibrin glue for esophageal fistulas. We investigated the safety of using PGA sheets with fibrin glue for esophageal fistulas after esophagectomy. Patients and methods This was a single-center prospective pilot study. Patients who had refractory esophageal fistulas after esophagectomy were included. PGA sheets were filled in the fistula using biopsy forceps. Fibrin glue was applied to the PGA sheets. We repeated the procedure 1 week later. The outcome measures were the incidence of adverse events (AEs) and closure of the fistula. Results Five patients were assessed. No adverse events were observed. The esophageal fistula was closed with the application of PGA sheets four times in 40 % (2/5) of the cases. Conclusions PGA sheets with fibrin glue were safe for esophageal fistula closure after esophagectomy and do not involve the risk of AEs.

scholarly journals Feasibility of a modified search, coagulation, and clipping method with and without the use of polyglycolic acid sheets and fibrin glue for preventing delayed bleeding after gastric endoscopic submucosal dissection

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Satoshi Abiko ◽  
Soichiro Oda ◽  
Akimitsu Meno ◽  
Akane Shido ◽  
Sonoe Yoshida ◽  
...  
Keyword(s):  
High Risk ◽  
Endoscopic Submucosal Dissection ◽  
Median Time ◽  
Fibrin Glue ◽  
Polyglycolic Acid ◽  
Low Risk ◽  
R0 Resection ◽  
Antithrombotic Agents ◽  
Delayed Bleeding ◽  
Submucosal Dissection

Abstract Background Methods have been developed for preventing delayed bleeding (DB) after gastric endoscopic submucosal dissection (GESD). However, none of the methods can completely prevent DB. We hypothesized that DB could be prevented by a modified search, coagulation, and clipping (MSCC) method for patients at low risk for DB and by combining the use of polyglycolic acid sheets and fibrin glue with the MSCC method (PMSCC method) for patients at high risk for DB (antibleeding [ABI] strategy). This study assessed the technical feasibility of this novel strategy. Method We investigated 123 lesions in 121 consecutive patients who underwent GESD in Kushiro Rosai Hospital between April 2018 and January 2020. The decision for continuation or cessation of antithrombotic agents was based on the Guidelines for Gastroenterological Endoscopy in Patients Undergoing Antithrombotic Treatment. Results Oral antithrombotic agents were administered to 28 patients (22.8%). The en bloc R0 resection rate was 98.4%. The MSCC method and the PMSCC method for preventing DB were performed in 114 and 9 lesions, respectively. The median time of the MSCC method was 16 min, and the median speed (the resection area divided by the time of method used) was 3.6 cm2/10 min. The median time of the PMSCC method was 59 min, and the median speed was 1.3 cm2/10 min. The only delayed procedural adverse event was DB in 1 (0.8%) of the 123 lesions. Conclusions The ABI strategy is feasible for preventing DB both in patients at low risk and in those at high risk for DB after GESD, whereas the PMSCC method may be necessary for reduction of time.

scholarly journals Nonsuture dural repair using polyglycolic acid mesh and fibrin glue: clinical application to spinal surgery

2006 ◽  
Vol 65 (2) ◽  
pp. 136-142 ◽  
Author(s):  
Kazutoshi Hida ◽  
Satoshi Yamaguchi ◽  
Toshitaka Seki ◽  
Shunsuke Yano ◽  
Minoru Akino ◽  
...  
Keyword(s):  
Fibrin Glue ◽  
Clinical Application ◽  
Spinal Surgery ◽  
Polyglycolic Acid ◽  
Dural Repair ◽  
Polyglycolic Acid Mesh
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