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Vacuum sealing drainage combined with naso-intestinal and gastric decompression tubes for the treatment of esophagogastrostomy neck fistula

OBJECTIVE: To evaluate the clinical results of the vacuum sealing drainage (VSD) combined with a naso-intestinal nutritional tube (NIT) and a gastric decompression tube (GDT) for the treatment of esophagogastrostomy neck fistula (ENF). METHODS: From January 2018 to October 2020, twenty patients (13...

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Autores principales: Tian, Chuan, Xu, Kaihao, Zhao, Yanan, Li, Yahua, Wu, Kunpeng, Jiao, Dechao, Han, Xinwei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9195471/
https://www.ncbi.nlm.nih.gov/pubmed/35698141
http://dx.doi.org/10.1186/s13019-022-01883-x
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author Tian, Chuan
Xu, Kaihao
Zhao, Yanan
Li, Yahua
Wu, Kunpeng
Jiao, Dechao
Han, Xinwei
author_facet Tian, Chuan
Xu, Kaihao
Zhao, Yanan
Li, Yahua
Wu, Kunpeng
Jiao, Dechao
Han, Xinwei
author_sort Tian, Chuan
collection PubMed
description OBJECTIVE: To evaluate the clinical results of the vacuum sealing drainage (VSD) combined with a naso-intestinal nutritional tube (NIT) and a gastric decompression tube (GDT) for the treatment of esophagogastrostomy neck fistula (ENF). METHODS: From January 2018 to October 2020, twenty patients (13 men and 7 women, ages 46–72) with ENF secondary to esophagogastrostomy were treated with VSD combined with NIT and GDT. Technical and clinical success rates, the incidence of early/late complications, the time of fistula closure (TFC) and therapy-related indicators were analyzed. The Karnofsky score and Eastern Cooperative Oncology Group (ECOG) score were compared before and after triple treatment. RESULTS: Technical and clinical success rates were 100% and 85%, respectively. Early complications occurred in 5/20 (25%) patients, and late complications occurred in 8/20 (40%) patients. The median TFC was 18 days (range 10–23). All therapy-related indicators were normalized posttreatment. The Karnofsky score and ECOG score after treatment were significantly different compared with pretreatment scores (p < 0.001). CONCLUSION: VSD combined with NIT and GDT is a safe and effective strategy for ENF, while severe strictures warrant further research.
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spelling pubmed-91954712022-06-15 Vacuum sealing drainage combined with naso-intestinal and gastric decompression tubes for the treatment of esophagogastrostomy neck fistula Tian, Chuan Xu, Kaihao Zhao, Yanan Li, Yahua Wu, Kunpeng Jiao, Dechao Han, Xinwei J Cardiothorac Surg Research Article OBJECTIVE: To evaluate the clinical results of the vacuum sealing drainage (VSD) combined with a naso-intestinal nutritional tube (NIT) and a gastric decompression tube (GDT) for the treatment of esophagogastrostomy neck fistula (ENF). METHODS: From January 2018 to October 2020, twenty patients (13 men and 7 women, ages 46–72) with ENF secondary to esophagogastrostomy were treated with VSD combined with NIT and GDT. Technical and clinical success rates, the incidence of early/late complications, the time of fistula closure (TFC) and therapy-related indicators were analyzed. The Karnofsky score and Eastern Cooperative Oncology Group (ECOG) score were compared before and after triple treatment. RESULTS: Technical and clinical success rates were 100% and 85%, respectively. Early complications occurred in 5/20 (25%) patients, and late complications occurred in 8/20 (40%) patients. The median TFC was 18 days (range 10–23). All therapy-related indicators were normalized posttreatment. The Karnofsky score and ECOG score after treatment were significantly different compared with pretreatment scores (p < 0.001). CONCLUSION: VSD combined with NIT and GDT is a safe and effective strategy for ENF, while severe strictures warrant further research. BioMed Central 2022-06-13 /pmc/articles/PMC9195471/ /pubmed/35698141 http://dx.doi.org/10.1186/s13019-022-01883-x Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Tian, Chuan
Xu, Kaihao
Zhao, Yanan
Li, Yahua
Wu, Kunpeng
Jiao, Dechao
Han, Xinwei
Vacuum sealing drainage combined with naso-intestinal and gastric decompression tubes for the treatment of esophagogastrostomy neck fistula
title Vacuum sealing drainage combined with naso-intestinal and gastric decompression tubes for the treatment of esophagogastrostomy neck fistula
title_full Vacuum sealing drainage combined with naso-intestinal and gastric decompression tubes for the treatment of esophagogastrostomy neck fistula
title_fullStr Vacuum sealing drainage combined with naso-intestinal and gastric decompression tubes for the treatment of esophagogastrostomy neck fistula
title_full_unstemmed Vacuum sealing drainage combined with naso-intestinal and gastric decompression tubes for the treatment of esophagogastrostomy neck fistula
title_short Vacuum sealing drainage combined with naso-intestinal and gastric decompression tubes for the treatment of esophagogastrostomy neck fistula
title_sort vacuum sealing drainage combined with naso-intestinal and gastric decompression tubes for the treatment of esophagogastrostomy neck fistula
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9195471/
https://www.ncbi.nlm.nih.gov/pubmed/35698141
http://dx.doi.org/10.1186/s13019-022-01883-x
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