Reply on “Successful Conservative Management of Hepatic Portal Venous Gas due to Anastomosis Leakage After a Sigmoidectomy”

Article information

Ann Coloproctol. 2020;36(4):212-212

Publication date (electronic) : 2020 August 31

doi : https://doi.org/10.3393/ac.2019.08.12

Seongwoo Hong

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 2019 August 9; Accepted 2019 August 12.

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.