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Clinical application of gastrointestinal decompression in anastomotic fistula after McKeown esophagectomy for esophageal cancer

AbstractCervical anastomotic fistula is one of the most common complications after McKeown esophagectomy for esophageal cancer, leading to septic shock and even death. It is therefore very important to provide effective symptom management after diagnosis of anastomotic fistula. Placing the gastroint...

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Autores principales: Lu, Yanhong, Ren, Zixue
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9302359/
https://www.ncbi.nlm.nih.gov/pubmed/35866812
http://dx.doi.org/10.1097/MD.0000000000029831
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author Lu, Yanhong
Ren, Zixue
author_facet Lu, Yanhong
Ren, Zixue
author_sort Lu, Yanhong
collection PubMed
description AbstractCervical anastomotic fistula is one of the most common complications after McKeown esophagectomy for esophageal cancer, leading to septic shock and even death. It is therefore very important to provide effective symptom management after diagnosis of anastomotic fistula. Placing the gastrointestinal decompression tube beside the anastomotic site and connecting the tube to a gastrointestinal decompression disk could support the prevention and treatment of anastomotic fistula after surgical treatment of esophageal cancer. Thirty-eight patients with anastomotic fistula after undergoing McKeown esophagectomy for esophageal cancer in our hospital from April 2017 to January 2021 were divided equally into control and observation groups according to the gastrointestinal decompression method used. Gastrointestinal decompression tubes were placed 45 to 50 cm from the incisors in the control group or 25 to 30 cm from the incisors in the observation group. The treatment efficacy was compared between the 2 groups. The drainage time, length of hospital stay after anastomotic fistula detection, and fistula healing time in the observation group were significantly shorter than those in the control group (P < .05 for all). Placing the gastrointestinal decompression tube connected to a gastrointestinal decompression disk next to the anastomotic site is a simple procedure and may significantly improve the drainage time, length of hospital stay, and fistula healing time of patients who develop anastomotic fistula resulting from McKeown esophagectomy for esophageal cancer.
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spelling pubmed-93023592022-08-03 Clinical application of gastrointestinal decompression in anastomotic fistula after McKeown esophagectomy for esophageal cancer Lu, Yanhong Ren, Zixue Medicine (Baltimore) Research Article AbstractCervical anastomotic fistula is one of the most common complications after McKeown esophagectomy for esophageal cancer, leading to septic shock and even death. It is therefore very important to provide effective symptom management after diagnosis of anastomotic fistula. Placing the gastrointestinal decompression tube beside the anastomotic site and connecting the tube to a gastrointestinal decompression disk could support the prevention and treatment of anastomotic fistula after surgical treatment of esophageal cancer. Thirty-eight patients with anastomotic fistula after undergoing McKeown esophagectomy for esophageal cancer in our hospital from April 2017 to January 2021 were divided equally into control and observation groups according to the gastrointestinal decompression method used. Gastrointestinal decompression tubes were placed 45 to 50 cm from the incisors in the control group or 25 to 30 cm from the incisors in the observation group. The treatment efficacy was compared between the 2 groups. The drainage time, length of hospital stay after anastomotic fistula detection, and fistula healing time in the observation group were significantly shorter than those in the control group (P < .05 for all). Placing the gastrointestinal decompression tube connected to a gastrointestinal decompression disk next to the anastomotic site is a simple procedure and may significantly improve the drainage time, length of hospital stay, and fistula healing time of patients who develop anastomotic fistula resulting from McKeown esophagectomy for esophageal cancer. Lippincott Williams & Wilkins 2022-07-22 /pmc/articles/PMC9302359/ /pubmed/35866812 http://dx.doi.org/10.1097/MD.0000000000029831 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Lu, Yanhong
Ren, Zixue
Clinical application of gastrointestinal decompression in anastomotic fistula after McKeown esophagectomy for esophageal cancer
title Clinical application of gastrointestinal decompression in anastomotic fistula after McKeown esophagectomy for esophageal cancer
title_full Clinical application of gastrointestinal decompression in anastomotic fistula after McKeown esophagectomy for esophageal cancer
title_fullStr Clinical application of gastrointestinal decompression in anastomotic fistula after McKeown esophagectomy for esophageal cancer
title_full_unstemmed Clinical application of gastrointestinal decompression in anastomotic fistula after McKeown esophagectomy for esophageal cancer
title_short Clinical application of gastrointestinal decompression in anastomotic fistula after McKeown esophagectomy for esophageal cancer
title_sort clinical application of gastrointestinal decompression in anastomotic fistula after mckeown esophagectomy for esophageal cancer
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9302359/
https://www.ncbi.nlm.nih.gov/pubmed/35866812
http://dx.doi.org/10.1097/MD.0000000000029831
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