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Letter to the Editor
 Reply on “Successful Conservative Management of Hepatic Portal Venous Gas due to Anastomosis Leakage After a Sigmoidectomy”
Seongwoo Hongorcid
Annals of Coloproctology 2020;36(4):212-212.
DOI: https://doi.org/10.3393/ac.2019.08.12
Published online: August 31, 2020

Department of Surgery, Inje University Seoul Paik Hospital, Seoul, Korea

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

Copyright © 2020 The Korean Society of Coloproctology

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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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.

CONFLICT OF INTEREST

No potential conflict of interest relevant to this article was reported.

  • 1. Carannante F, Capolupo GT, Masciana G, Caricato M. Hepatic portal venous gas and anastomotic leakage. Ann Coloproctol 2020;36:211. ArticlePubMedPMCPDF
  • 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.ArticlePubMedPMCPDF
  • 3. Capolupo GT, Masciana G, Carannante F, Caricato M. Hepatic portal venous gas after colonoscopy: a case report and review. Int J Surg Case Rep 2018;51:54–7.ArticlePubMedPMC
  • 4. Li Z, Su Y, Wang X, Yan H, Sun M, Shu Z. Hepatic portal venous gas associated with colon cancer: a case report and literature review. Medicine (Baltimore) 2017;96:e9352.ArticlePubMedPMC

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        Reply on “Successful Conservative Management of Hepatic Portal Venous Gas due to Anastomosis Leakage After a Sigmoidectomy”
        Ann Coloproctol. 2020;36(4):212-212.   Published online August 31, 2020
        DOI: https://doi.org/10.3393/ac.2019.08.12
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