Endoscopic Vacuum-Assisted Closure (E-VAC) Treatment in a Patient with Delayed Anastomotic Perforation following a Perforated Gastric Conduit Repair after an Ivor-Lewis Esophagectomy

被引：12

作者：

Youn, Hyo Chul ^{[1
]}

Kwon, Se Hwan ^{[2
]}

机构：

[1] Kyung Hee Univ Hosp, Dept Thorac & Cardiovasc Surg, Seoul, South Korea

[2] Kyung Hee Univ Hosp, Dept Radiol, Seoul, South Korea

来源：

ANNALS OF THORACIC AND CARDIOVASCULAR SURGERY | 2016年 / 22卷 / 06期

关键词：

esophageal neoplasm; esophagectomy; anastomotic leakage; endoscopy; MANAGEMENT; LEAKAGE;

D O I：

10.5761/atcs.cr.15-00305

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

It has been reported that intrathoracic esophageal leakages occur at a rate of 4%-17% after Ivor-Lewis esophagectomy. There has been no consensus on a specific treatment for the post-operative anastomotic leakage. Recently, endoscopic vacuum-assisted closure (E-VAC) has been introduced as a novel treatment for the post-operative anastomotic leakage. We herein report the case of a patient with early perforation of the gastric conduit followed by late esophagogastric anastomotic leakage who was successfully treated with early surgical repair and subsequent E-VAC. The patient had been previously diagnosed with achalasia and squamous cell carcinoma of the esophagus and undergone an Ivor-Lewis esophagectomy.

引用

页码：363 / 366

页数：4

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