Endoscopic closure of a gastrojejunal anastomotic leak (with video) - 22/08/11
Commentary Historically, the term glue referred only to protein colloids prepared from animal tissues, but today, the meaning has been expanded to refer to any fluid adhesive. Bergel first reported the use of fibrin as a biologic adhesive in 1909. When the 2 components of fibrin glue, fibrinogen and thrombin, come into contact with each other, the final stage of coagulation is initiated and fibrin is formed, acting as a sealant, hemostatic agent, and adhesive. To further ensure a good apposition of tissue, the authors also employed mechanical clips; use of such a “belt and suspenders” approach is prudent, for who wants their pants to fall down at an inconvenient time? Lawrence J. Brandt, MD Associate Editor for Focal Points |
Vol 66 - N° 6
P. 1225-1226 - décembre 2007 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?