Recent advancements in the minimally invasive management of esophageal perforation, leaks, and fistulae

被引：9

作者：

Siddiqi, Shirin ^{[1
]}

Schraufnagel, Dean P. ^{[1
]}

Siddiqui, Hafiz Umair ^{[1
]}

Javorski, Michael J. ^{[1
]}

Mace, Adam ^{[1
]}

Elnaggar, Abdulrhman S. ^{[1
]}

Elgharably, Haytham ^{[1
]}

Vargo, Patrick R. ^{[1
]}

Steffen, Robert ^{[2
]}

Hasan, Saad M. ^{[1
]}

Raja, Siva ^{[1
]}

机构：

[1] Cleveland Clin Fdn, Thorac & Cardiovasc Surg, Cleveland, OH 21621 USA

[2] Minneapolis Heart Inst Fdn, Dept Cardiovasc Surg, Minneapolis, MN USA

来源：

EXPERT REVIEW OF MEDICAL DEVICES | 2019年 / 16卷 / 03期

关键词：

Endoscopic stents; endoscopic clips; endoscopic suturing; esophageal perforations; esophageal leaks; esophageal fistulae; minimally invasive; RECURRENT TRACHEOESOPHAGEAL FISTULA; ENDOSCOPIC VACUUM THERAPY; EXPANDABLE METAL STENTS; SCOPE CLIP SYSTEM; UPPER GASTROINTESTINAL-TRACT; ANASTOMOTIC LEAK; AORTOESOPHAGEAL FISTULA; NONOPERATIVE MANAGEMENT; SURGICAL STRATEGY; ASSISTED CLOSURE;

D O I：

10.1080/17434440.2019.1582329

中图分类号：

R318 [生物医学工程];

学科分类号：

0831 ;

摘要：

Introduction: Historically, the gold standard management of esophageal perforations, leaks, and fistulae has been traditional open surgery, but it is associated with significant morbidity and mortality. Minimally invasive approaches offer alternatives to surgery in treating hemodynamically stable patients with such defects. In this review article, we will discuss the recent advancements in the minimally invasive management of esophageal perforations, leaks, and fistulas. Areas covered: This review includes information from case reports, case series, and clinical trials on minimally invasive management of esophageal perforations, leaks, and fistulas. The focus is on the devices, outcomes, and application of the technology. Expert commentary: Minimally invasive treatment represents significant progress in the management of esophageal perforations, leaks, and fistulas. Based on current evidence, it seems safe and effective but it is evolving and more studies are needed to help draw definitive conclusions.

引用

页码：197 / 209

页数：13

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