Reply on “Successful Conservative Management of Hepatic Portal Venous Gas due to Anastomosis Leakage After a Sigmoidectomy”
- Correspondence to: Seongwoo Hong, M.D. Department of Surgery, Inje University Seoul Paik Hospital, 9 Mareunnae-ro, Jung-gu, Seoul 04551, Korea Tel: +82-2-2270-0021, Fax: +82-2-2270-0247 E-mail: hongsw@paik.ac.kr
- Received August 9, 2019 Accepted August 12, 2019
To the Editor,
We appreciate and thank Dr. Carannante et al. [1] for their interest in our work [2] and comments. Our case involved hepatic portal vein gas (HPVG), which developed due to anastomosis leakage after sigmoidectomy. The unique aspect of our case was that HPVG developed as a surgical complication immediately after colon resection. Capolupo et al. [3] reported an HPVG case that developed at an ileoanal anastomosis site constructed 8 years prior and the cause of HPVG was an endoscopic procedure. Li et al. [4] reported HPVG that developed due to colon cancer obstruction and perforation. Their case was not related to surgical complications after colectomy. We suggest that HPVG that develops as a surgical complication after colectomy can be managed conservatively if clinical symptoms and signs are stable.
- Footnotes
CONFLICT OF INTEREST No potential conflict of interest relevant to this article was reported.
- References
REFERENCES
1. Carannante F, Capolupo GT, Masciana G, Caricato M. Hepatic portal venous gas and anastomotic leakage. Ann Coloproctol 2020;36:211.
[Article] [PubMed] [PMC]2. Hong I, Hong SW, Chang YG, Lee B, Lee WY, Ohe HJ, et al. Successful conservative management of hepatic portal venous gas due to anastomosis leakage after a sigmoidectomy. Ann Coloproctol 2019;35:282–4.
[Article] [PubMed] [PMC]