Endoscopic Vacuum-Assisted Closure Therapy in Patients with Anastomotic Leakage after Esophagectomy: A Single-Center Experience
Joint Authors
Ahn, Ji Yong
Noh, Soo Min
Lee, Jeong Hoon
Jung, Hwoon-Yong
AlGhamdi, Zeead
Kim, Hyeong Ryul
Kim, Yong-Hee
Source
Gastroenterology Research and Practice
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-04-04
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Aim.
To study the efficacy of E-VAC therapy for patients with anastomotic leakage after esophagectomy.
Methods.
Between January 2013 and April 2017, 12 patients underwent E-VAC therapy for the management of postoperative leakage.
Their clinical features and endoscopic procedure details, therapy results, adverse events, and survival were investigated.
Results.
All 12 patients were male and the median age was 57 years (interquartile range 51.5–62.8 years).
The reasons for esophageal surgery were esophageal cancer (83.3%), gastrointestinal stromal tumor (8.3%), and esophageal diverticulum (8.3%).
Prior to E-VAC therapy, 6 patients had undergone failed primary surgical repair and the median duration from esophagectomy to leakage discovery was 13.5 days (IQR 6–207 days).
The median duration of E-VAC therapy was 25 days (IQR 13.5–34.8 days) and the average sponge exchange rate was 2.7 times during the treatment period.
After E-VAC therapy, 8 patients (66.7%) had complete leakage closure, 3 (25%) had a decreased leakage size, and 1 (8.3%) was unchanged.
The three patients with a decreased leakage size after E-VAC therapy were treated with endoscopic and conservative management without further surgery.
Conclusion.
With proper patient selection, E-VAC therapy is a feasible and safe method for the treatment of anastomotic leakage after esophagectomy.
American Psychological Association (APA)
Noh, Soo Min& Ahn, Ji Yong& Lee, Jeong Hoon& Jung, Hwoon-Yong& AlGhamdi, Zeead& Kim, Hyeong Ryul…[et al.]. 2018. Endoscopic Vacuum-Assisted Closure Therapy in Patients with Anastomotic Leakage after Esophagectomy: A Single-Center Experience. Gastroenterology Research and Practice،Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1159279
Modern Language Association (MLA)
Noh, Soo Min…[et al.]. Endoscopic Vacuum-Assisted Closure Therapy in Patients with Anastomotic Leakage after Esophagectomy: A Single-Center Experience. Gastroenterology Research and Practice No. 2018 (2018), pp.1-7.
https://search.emarefa.net/detail/BIM-1159279
American Medical Association (AMA)
Noh, Soo Min& Ahn, Ji Yong& Lee, Jeong Hoon& Jung, Hwoon-Yong& AlGhamdi, Zeead& Kim, Hyeong Ryul…[et al.]. Endoscopic Vacuum-Assisted Closure Therapy in Patients with Anastomotic Leakage after Esophagectomy: A Single-Center Experience. Gastroenterology Research and Practice. 2018. Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1159279
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1159279