Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
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
_version_ 1783410041709133824
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
work_keys_str_mv AT minyangwon endoscopicvacuumtherapyforpostoperativeesophagealleak
AT kimtaewan endoscopicvacuumtherapyforpostoperativeesophagealleak
AT leehyuk endoscopicvacuumtherapyforpostoperativeesophagealleak
AT minbyunghoon endoscopicvacuumtherapyforpostoperativeesophagealleak
AT kimhongkwan endoscopicvacuumtherapyforpostoperativeesophagealleak
AT choiyongsoo endoscopicvacuumtherapyforpostoperativeesophagealleak
AT leejunhaeng endoscopicvacuumtherapyforpostoperativeesophagealleak
AT rheepoonglyul endoscopicvacuumtherapyforpostoperativeesophagealleak
AT kimjaej endoscopicvacuumtherapyforpostoperativeesophagealleak
AT zojaeill endoscopicvacuumtherapyforpostoperativeesophagealleak
AT shimyoungmog endoscopicvacuumtherapyforpostoperativeesophagealleak