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Esophageal Stent Insertion for Postesophagectomy Anastomosis Site Leakage

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초록

In Ivor Lewis operation, anastomosis site leakage is a critical complication. Interventional approach utilizing covered metal stent has been introduced for the management of this complication. This patient was diagnosed as esophageal cancer and underwent robot-assisted Ivor Lewis operation. Due to symptoms suggesting anastomosis site leakage, video-assisted thoracoscopic surgery exploration was performed without identification of gross leakage site. On esophagogastroduodenoscopy, anastomosis site leakage was detected and esophageal stent was placed. Four weeks later, the stent was removed, and the patient could intake all his diet orally without discomfort. Esophageal stent insertion can be an option to manage postesophagectomy leakage problem.

Abstract

In Ivor Lewis operation, anastomosis site leakage is a critical complication. Interventional approach utilizing covered metal stent has been introduced for the management of this complication. This patient was diagnosed as esophageal cancer and underwent robot-assisted Ivor Lewis operation. Due to symptoms suggesting anastomosis site leakage, video-assisted thoracoscopic surgery exploration was performed without identification of gross leakage site. On esophagogastroduodenoscopy, anastomosis site leakage was detected and esophageal stent was placed. Four weeks later, the stent was removed, and the patient could intake all his diet orally without discomfort. Esophageal stent insertion can be an option to manage postesophagectomy leakage problem.

참고문헌 (8)

  1. Freeman RK., "Esophageal stent placement for the treatment of perforation, fistula, or anastomotic leak", Semin Thorac Cardiovasc Surg, 23(2), pp.154~158 (2011)
  2. Freeman RK., "Esophageal stent placement for the treatment of acute intrathoracic anastomotic leak after esophagectomy", Ann Thorac Surg, 92(1), pp.204~208 (2011)
  3. Segalin A., "Endoscopic management of inveterate esophageal perforations and leaks", Surg Endosc, 10(9), pp.928~932 (1996)
  4. Al-issa MA., "The role of esophageal stent placement in the management of postesophagectomy anastomotic leak", Saudi J Gastroenterol, 20(1), pp.39~42 (2014)
  5. Langer FB., "Management of postoperative esophageal leaks with the Polyflex self-expanding covered plastic stent", Ann Thorac Surg, 79(2), pp.398~403 (2005)
  6. D’Cunha J., "Esophageal stents for anastomotic leaks and perforations", J Thorac Cardiovasc Surg, 142(1), pp.39.e1~46.e1 (2011)
  7. Nguyen NT., "Management of gastrointestinal leaks after minimally invasive esophagectomy: conventional treatments vs. endoscopic stenting", J Gastrointest Surg, 15(11), pp.1952~1960 (2011)
  8. Blackmon SH., "Utility of removable esophageal covered self-expanding metal stents for leak and fistula management", Ann Thorac Surg, 89(3), pp.931~936 (2010)

관련 논문AI추천

Endoscopic Management of Anastomotic Leakage after Esophageal Surgery: Ten Year Analysis in a Tertiary University CenterAlexander Arlt, Christian Meinhardt, Maximilian Bockhorn, Nader El-Sourani, Sorin Miftode대한소화기내시경학회 · Clinical Endoscopy2022 · 제55권 제1호Endoscopic Endoluminal Vacuum Therapy or Self-Expandable Metallic Stent: Treatment Option in Anastomotic Leakage after Esophageal SurgeryChul-Hyun Lim대한소화기내시경학회 · Clinical Endoscopy2022 · 제55권 제1호The Temporary Placement of Covered Self-Expandable Metal Stents to Seal Various Gastrointestinal Leaks after Surgery최황, 김병욱, 김진조, 송주용, 이보인, 지정선, 최규용, 최혜정거트앤리버 소화기연관학회협의회 · Gut and Liver2013 · 제7권 제1호Endoscopic management of postoperative upper gastrointestinal leakageJi Yong Ahn소화기인터벤션의학회 · International Journal of Gastrointestinal Intervention2022 · 제11권 제4호Endoscopic internal drainage with double pigtail stents for upper gastrointestinal anastomotic leaks: suitable for all cases?Baldwin PM Yeung, Bin Chet Toh, Chin Hong Lim, Eugene KW Lim, Jeremy TH Tan, Jingli Chong, Weng Hoong Chan대한소화기내시경학회 · Clinical Endoscopy2022 · 제55권 제3호Efficacy of Endoscopic Vacuum-Assisted Closure Treatment for Postoperative Anastomotic Leak in Gastric CancerChoi Soo In, Jung Da Hyun, Lee Sang Kil, Lee Yong Chan, Park Jun Chul, Shin Sung Kwan거트앤리버 소화기연관학회협의회 · Gut and Liver2020 · 제14권 제6호

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