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Endoscopic vacuum therapy for postoperative esophageal leak
BACKGROUND: Anastomotic leak is the most common and serious complication following esophagectomy. Endoscopic vacuum-assisted closure (EVAC) is a promising method for treating anastomotic leak. We aimed to evaluate the efficacy of EVAC and to identify factors associated with longer treatment duration...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458610/ https://www.ncbi.nlm.nih.gov/pubmed/30975210 http://dx.doi.org/10.1186/s12893-019-0497-5 |
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author | Min, Yang Won Kim, Taewan Lee, Hyuk Min, Byung-Hoon Kim, Hong Kwan Choi, Yong Soo Lee, Jun Haeng Rhee, Poong-Lyul Kim, Jae J. Zo, Jae Ill Shim, Young Mog |
author_facet | Min, Yang Won Kim, Taewan Lee, Hyuk Min, Byung-Hoon Kim, Hong Kwan Choi, Yong Soo Lee, Jun Haeng Rhee, Poong-Lyul Kim, Jae J. Zo, Jae Ill Shim, Young Mog |
author_sort | Min, Yang Won |
collection | PubMed |
description | BACKGROUND: Anastomotic leak is the most common and serious complication following esophagectomy. Endoscopic vacuum-assisted closure (EVAC) is a promising method for treating anastomotic leak. We aimed to evaluate the efficacy of EVAC and to identify factors associated with longer treatment duration for esophageal anastomotic leak following esophagectomy for cancer. METHODS: We retrospectively analyzed 20 esophageal cancer patients who had undergone EVAC for anastomotic leak after esophagectomy. The efficacy and success rates were evaluated and factors associated with longer treatment duration (≥ 21 days) were identified. RESULTS: All 20 patients were male. Of these, 10 (50.0%) received neoadjuvant treatment and 6 (30.0%) had one or more comorbidities. The median size of fistula opening was 1.75 cm. During a median of 14.5 days of EVAC treatment, a median of 5 interventions were performed. Treatment success was achieved in 19 patients (95.0%). Neoadjuvant treatment was significantly associated with longer EVAC treatment. There was a non-significant trend toward the need for longer treatment duration for a larger fistula opening size. CONCLUSIONS: EVAC treatment is a good non-surgical option for anastomotic leak following esophagectomy. Long duration of treatment is associated with neoadjuvant treatment and a large leakage opening. |
format | Online Article Text |
id | pubmed-6458610 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-64586102019-04-19 Endoscopic vacuum therapy for postoperative esophageal leak Min, Yang Won Kim, Taewan Lee, Hyuk Min, Byung-Hoon Kim, Hong Kwan Choi, Yong Soo Lee, Jun Haeng Rhee, Poong-Lyul Kim, Jae J. Zo, Jae Ill Shim, Young Mog BMC Surg Research Article BACKGROUND: Anastomotic leak is the most common and serious complication following esophagectomy. Endoscopic vacuum-assisted closure (EVAC) is a promising method for treating anastomotic leak. We aimed to evaluate the efficacy of EVAC and to identify factors associated with longer treatment duration for esophageal anastomotic leak following esophagectomy for cancer. METHODS: We retrospectively analyzed 20 esophageal cancer patients who had undergone EVAC for anastomotic leak after esophagectomy. The efficacy and success rates were evaluated and factors associated with longer treatment duration (≥ 21 days) were identified. RESULTS: All 20 patients were male. Of these, 10 (50.0%) received neoadjuvant treatment and 6 (30.0%) had one or more comorbidities. The median size of fistula opening was 1.75 cm. During a median of 14.5 days of EVAC treatment, a median of 5 interventions were performed. Treatment success was achieved in 19 patients (95.0%). Neoadjuvant treatment was significantly associated with longer EVAC treatment. There was a non-significant trend toward the need for longer treatment duration for a larger fistula opening size. CONCLUSIONS: EVAC treatment is a good non-surgical option for anastomotic leak following esophagectomy. Long duration of treatment is associated with neoadjuvant treatment and a large leakage opening. BioMed Central 2019-04-11 /pmc/articles/PMC6458610/ /pubmed/30975210 http://dx.doi.org/10.1186/s12893-019-0497-5 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Min, Yang Won Kim, Taewan Lee, Hyuk Min, Byung-Hoon Kim, Hong Kwan Choi, Yong Soo Lee, Jun Haeng Rhee, Poong-Lyul Kim, Jae J. Zo, Jae Ill Shim, Young Mog Endoscopic vacuum therapy for postoperative esophageal leak |
title | Endoscopic vacuum therapy for postoperative esophageal leak |
title_full | Endoscopic vacuum therapy for postoperative esophageal leak |
title_fullStr | Endoscopic vacuum therapy for postoperative esophageal leak |
title_full_unstemmed | Endoscopic vacuum therapy for postoperative esophageal leak |
title_short | Endoscopic vacuum therapy for postoperative esophageal leak |
title_sort | endoscopic vacuum therapy for postoperative esophageal leak |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458610/ https://www.ncbi.nlm.nih.gov/pubmed/30975210 http://dx.doi.org/10.1186/s12893-019-0497-5 |
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