Endoscopic vacuum therapy of anastomotic leakage and iatrogenic perforation in the esophagus

被引：84
作者：
Schorsch, Tobias [1 ]
Mueller, Christian [1 ]
Loske, Gunnar [1 ]
机构：
[1] Katholisches Marienkrankenhaus Hamburg gGmbH, Dept Gen Abdominal Thorac & Vasc Surg, D-22087 Hamburg, Germany
来源：
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2013年 / 27卷 / 06期
关键词：
Anastomotic leakage; Anastomosis; Perforation; Esophageal; Esophagus; Endoscopy; Vacuum therapy; Complication; SURGICAL-TREATMENT; MANAGEMENT; RESECTION; CLOSURE;
D O I：
10.1007/s00464-012-2707-4
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
The management of anastomotic leakage and iatrogenic esophageal perforation has shifted over recent decades from aggressive surgery to conservative and, recently, endoscopic therapy alternatives. The authors present their results for endoscopic vacuum therapy used to treat both entities. In the authors' institution, 17 cases of anastomotic leakage and 7 cases of iatrogenic perforation due to interventional endoscopy or rigid panendoscopy with either intraluminal or intracavitary endoscopic vacuum therapy were treated. In 23 of 24 cases, the endoscopic treatment was successful. The median duration of therapy was 11 days (range, 4-46 days). All 7 cases of iatrogenic perforation and 16 of 17 anastomotic leakage cases were cured after a median therapy duration of 5 and 12 days, respectively. Endoscopic vacuum therapy is applicable for a wide range of esophageal defects. In the authors' experience, it has seemed to be the best choice for iatrogenic perforations and has been a potent supplement in the management of anastomotic leakages.
引用
收藏
页码：2040 / 2045
页数：6
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