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La radiologia medica

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01-12-2019 | Esophageal Cancer | CHEST RADIOLOGY

Interventional radiology protocol for treatment of esophagogastric anastomotic leakage

Authors: Yonghua Bi, Xiaoyan Zhu, Zepeng Yu, Gang Wu, Xinwei Han, Jianzhuang Ren

Published in: La radiologia medica | Issue 12/2019

Abstract

Purpose

We aimed to determine the safety, feasibility and efficacy of interventional radiology method for the management of esophagogastric anastomotic leakage.

Methods

We retrospectively assessed the medical records of 23 consecutive patients with esophagogastric anastomotic leakage treated using intervention protocol. Patients received three-tube method (abscess drainage tube, gastrointestinal decompression tube and jejunal feeding tube) with or without temporary covered esophageal stent placement. Abscess drainage, anti-inflammatory treatment and nutritional support were performed thereafter. The esophageal stents and three tubes were removed after leakage healing.

Results

All patient received three-tube method and eight patients received covered stent placement. All operations were technically successful. After a median of 2.4 months, the stents were successfully removed from five patients. No death, esophageal rupture or massive hemorrhage occurred during procedures. The abscess cavity had markedly decreased in seven patients or disappeared in 16 cases. During follow-up, four patients died of cancer recurrence, one died of heart dysfunction and one died of pulmonary infection. The 1-, 3-, 5-year survival rates were 86.4%, 52.3% and 52.3%, respectively.

Conclusion

Interventional radiology protocol is safe, feasible and efficacious for treatment for esophagogastric anastomotic leakage.

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Title: Interventional radiology protocol for treatment of esophagogastric anastomotic leakage
Authors: Yonghua Bi
Xiaoyan Zhu
Zepeng Yu
Gang Wu
Xinwei Han
Jianzhuang Ren
Publication date: 01-12-2019
Publisher: Springer Milan
Keywords: Esophageal Cancer
Esophageal Cancer
Interventional Radiology
Esophagography
Published in: La radiologia medica / Issue 12/2019
Print ISSN: 0033-8362
Electronic ISSN: 1826-6983
DOI: https://doi.org/10.1007/s11547-019-01074-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Interventional radiology protocol for treatment of esophagogastric anastomotic leakage

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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