Novel techniques for the management of esophageal anastomotic leaks

被引:2
作者
Latorre-Rodriguez, Andres R. [1 ]
Mittal, Sumeet K. [1 ]
机构
[1] St Josephs Hosp, Norton Thorac Inst, 500 W Thomas Rd Suite 500, Phoenix, AZ 85013 USA
关键词
Anastomotic leak; postoperative complications; minimally invasive surgical procedures; digestive system surgical procedures; gastrointestinal endoscopy; esophagus; ENDOLUMINAL VACUUM THERAPY; RESECTION; STENTS; SURGERY; OPTION; TIME;
D O I
10.20517/2574-1225.2022.104
中图分类号
R61 [外科手术学];
学科分类号
摘要
Anastomotic leaks (ALs) after esophageal resection remain a dreaded complication and are associated with high morbidity and mortality, along with an increased cost of care and prolonged hospitalization. Management strategies include confirming conduit viability, controlling sepsis with drainage/antibiotics, and maintaining nutrition. Traditional treatment of ALs has given way to nonoperative management including endoscopic and radiological techniques, which are associated with decreased morbidity. This article aims to review novel technologies and techniques for the management of esophageal ALs, including self-expandable metal stents, endoluminal vacuum therapy, leak content drainage, and radiology-guided drain placement.
引用
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页数:10
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共 46 条
[1]   AGA Clinical Practice Update on the Optimal Management of the Malignant Alimentary Tract Obstruction: Expert Review [J].
Ahmed, Osman ;
Lee, Jeffrey H. ;
Thompson, Christopher C. ;
Faulx, Ashley .
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2021, 19 (09) :1780-1788
[2]   Surgical treatments for esophageal cancers [J].
Allum, William H. ;
Bonavina, Luigi ;
Cassivi, Stephen D. ;
Cuesta, Miguel A. ;
Dong, Zhao Ming ;
Nilton Felix, Valter ;
Figueredo, Edgar ;
Gatenby, Piers A. C. ;
Haverkamp, Leonie ;
Ibraev, Maksat A. ;
Krasna, Mark J. ;
Lambert, Rene ;
Langer, Rupert ;
Lewis, Michael P. N. ;
Nason, Katie S. ;
Parry, Kevin ;
Preston, Shaun R. ;
Ruurda, Jelle P. ;
Schaheen, Lara W. ;
Tatum, Roger P. ;
Turkin, Igor N. ;
van der Horst, Sylvia ;
van der Peet, Donald L. ;
van der Sluis, Peter C. ;
van Hillegersberg, Richard ;
Wormald, Justin C. R. ;
Wu, Peter C. .
12TH OESO WORLD CONFERENCE: CANCERS OF THE ESOPHAGUS, 2014, 1325 :242-268
[3]   Mesenchymal Stem Cells and PRP Therapy Favorize Leak Closure After Sleeve Gastrectomy in Zucker Rats [J].
Benois, Marine ;
Lecorgne, Enora ;
Kassir, Radwan ;
Piche, Marjorie ;
Amor, Virginie Ben ;
Chenaitia, Hichem ;
Gal, Jocelyn ;
Skhiri, Taycir ;
Gugenheim, Jean ;
Gaggioli, Cedric ;
Amor, Imed Ben .
OBESITY SURGERY, 2022, 32 (04) :1251-1260
[4]   Results of endoscopic vacuum-assisted closure device for treatment of upper GI leaks [J].
Bludau, Marc ;
Fuchs, Hans F. ;
Herbold, Till ;
Maus, Martin K. H. ;
Alakus, Hakan ;
Popp, Felix ;
Leers, Jessica M. ;
Bruns, Christiane J. ;
Hoelscher, Arnulf H. ;
Schroeder, Wolfgang ;
Chon, Seung-Hun .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2018, 32 (04) :1906-1914
[5]   Emerging Trends in the Etiology, Prevention, and Treatment of Gastrointestinal Anastomotic Leakage [J].
Chadi, Sami A. ;
Fingerhut, Abe ;
Berho, Mariana ;
DeMeester, Steven R. ;
Fleshman, James W. ;
Hyman, Neil H. ;
Margolin, David A. ;
Martz, Joseph E. ;
McLemore, Elisabeth C. ;
Molena, Daniela ;
Newman, Martin I. ;
Rafferty, Janice F. ;
Safar, Bashar ;
Senagore, Anthony J. ;
Zmora, Oded ;
Wexner, Steven D. .
JOURNAL OF GASTROINTESTINAL SURGERY, 2016, 20 (12) :2035-2051
[6]   VACStent: a new option for endoscopic vacuum therapy in patients with esophageal anastomotic leaks after upper gastrointestinal surgery [J].
Chon, Seung-Hun ;
Bartella, Isabel ;
Buerger, Martin ;
Rieck, Isabel ;
Goeser, Tobias ;
Schroeder, Wolfgang ;
Bruns, Christiane Josephine .
ENDOSCOPY, 2020, 52 (05) :E166-E167
[7]   EXPANDABLE BILIARY METAL STENTS FOR MALIGNANCIES - ENDOSCOPIC INSERTION AND DIATHERMIC CLEANING FOR TUMOR INGROWTH [J].
CREMER, M ;
DEVIERE, J ;
SUGAI, B ;
BAIZE, M .
GASTROINTESTINAL ENDOSCOPY, 1990, 36 (05) :451-457
[8]   Recombinant vascular endothelial growth factor165 gene therapy improves anastomotic healing in an animal model of ischemic esophagogastrostomy [J].
Enestvedt, C. K. ;
Hosack, L. ;
Hoppo, T. ;
Perry, K. A. ;
O'Rourke, R. W. ;
Winn, S. R. ;
Hunter, J. G. ;
Jobe, B. A. .
DISEASES OF THE ESOPHAGUS, 2012, 25 (05) :456-464
[9]   Anastomotic leakage after esophagectomy for esophageal cancer: definitions, diagnostics, and treatment [J].
Fabbi, M. ;
Hagens, E. R. C. ;
Henegouwen, M. I. van Berge ;
Gisbertz, S. S. .
DISEASES OF THE ESOPHAGUS, 2021, 34 (01)
[10]   Management of anastomotic leaks after esophagectomy and gastric pull-up [J].
Famiglietti, Amber ;
Lazar, John F. ;
Henderson, Hayley ;
Hamm, Margaret ;
Malouf, Stefanie ;
Margolis, Marc ;
Watson, Thomas J. ;
Khaitan, Puja Gaur .
JOURNAL OF THORACIC DISEASE, 2020, 12 (03) :1022-1030