2 CI: 1.5–2.8 – elderly patients, OR = 2.4 CI: 1.1–3.6 – middle-aged patients). Conclusion: Regurgitation twice as likely to bother GERD elderly patients. In both age groups, the presence of a burp was more typical complications of the disease. The largest contribution to the emergence of belching were added: abdominal and any obesity, reception NSAIDs and nitrates (elderly patients); hiatal hernia and any obesity (middle-aged

patients). Key Word(s): 1. Gastroesophageal reflux disease; 2. regurgitation; 3. risk factors; 4. elderly patients Presenting Author: MI HEE PARK Additional Authors: JAE HYUCK JANG, JUNHYUN LEE, YOUN JUNG PARK, JONG WON PARK, SUNG HA BAE, KYUNG SOO LEE, CHANG WHAN KIM, SOK WON HAN Corresponding Author: MIHEE PARK Affiliations: Bucheon St. Mary’s Hospital, EGFR inhibitor College of Medicine, Bucheon St. Mary’s

PD98059 nmr Hospital, College of Medicine, Bucheon St. Mary’s Hospital, College of Medicine, Bucheon St. Mary’s Hospital, College of Medicine, Bucheon St. Mary’s Hospital, College of Medicine, Bucheon St. Mary’s Hospital, College of Medicine, Bucheon St. Mary’s Hospital, College of Medicine, Bucheon St. Mary’s Hospital, College of Medicine Objective: INTRODUCTION: The incidences of anastomotic leaks after upper gastrointestinal surgery are approximately 4% to 20%. Although the treatments of anastomotic leaks have not been established, a covered metal stent is considered a useful method. In some cases, fibrin glue was reported as a useful alternative tool. We used both covered metal stents and fibrin glue to treat the patient with esophago-jejunal leak and marked dilated esophagus. Methods: CASE PRESENTATION: A 72-year-old woman was referred for an esophago-jejunal anastomotic leak. The patient had undergone total gastrectomy with end-to-side 上海皓元医药股份有限公司 esophago-jejunal anastomosis due to the adenocarcinoma of the stomach. A Jackson-Pratt (JP) drain was inserted into the Morrison pouch via right upper quadrant port site. JP drain didn’t reduce until one week. Esophagography was performed and showed contrast leak at the anastomotic site (Figure A). It also revealed marked dilated esophagus with

the largest diameter (35 mm). A fully covered self-expanding metal stent was placed over the leak site. After one week, follow-up esophagography showed persistent leak and the stent did not fit the esophagus due to the large diameter of the esophagus (Figure B). The stent was removed and fibrin glues were applied at the leak site (Figure C). Specially manufactured fully covered metal stent with 32 mm in a diameter was placed (Figure D). Two weeks later, the esophagography showed no leak. The metal stent was removed, and then the patient was discharged with a good health condition. Conclusion: We experienced a case that the esophago-jejunal leak after total gastrectomy was successfully treated by combination of covered metal stent and fibrin glue. Key Word(s): 1. Esophago-jejunal anastomotic leak; 2. combination; 3.