Endoscopic Management of Large Leakages After Upper Gastrointestinal Surgery.
anastomotic leakage
endoluminal
endoscopic
negative pressure
vacuum-assisted closure
Journal
Frontiers in surgery
ISSN: 2296-875X
Titre abrégé: Front Surg
Pays: Switzerland
ID NLM: 101645127
Informations de publication
Date de publication:
2022
2022
Historique:
received:
27
02
2022
accepted:
14
04
2022
entrez:
26
5
2022
pubmed:
27
5
2022
medline:
27
5
2022
Statut:
epublish
Résumé
Endoscopic vacuum therapy (EVT) is an evidence-based option to treat anastomotic leakages of the upper gastrointestinal (GI) tract, but the technical challenges and clinical outcomes of patients with large defects remain poorly described. All patients with leakages of the upper GI tract that were treated with endoscopic negative pressure therapy at our institution from 2012-2021 were analyzed. Patients with large defects (>30 mm) as an indicator of complex treatment were compared to patients with smaller defects (control group). Ninety-two patients with postoperative anastomotic or staplerline leakages were identified, of whom 20 (21.7%) had large defects. Compared to the control group, these patients required prolonged therapy (42 vs. 14 days, Overall, our study confirms that EVT for leakages even from large defects of the upper GI tract is feasible in most cases but comes with significant technical challenges.
Sections du résumé
Background
UNASSIGNED
Endoscopic vacuum therapy (EVT) is an evidence-based option to treat anastomotic leakages of the upper gastrointestinal (GI) tract, but the technical challenges and clinical outcomes of patients with large defects remain poorly described.
Methods
UNASSIGNED
All patients with leakages of the upper GI tract that were treated with endoscopic negative pressure therapy at our institution from 2012-2021 were analyzed. Patients with large defects (>30 mm) as an indicator of complex treatment were compared to patients with smaller defects (control group).
Results
UNASSIGNED
Ninety-two patients with postoperative anastomotic or staplerline leakages were identified, of whom 20 (21.7%) had large defects. Compared to the control group, these patients required prolonged therapy (42 vs. 14 days,
Conclusions
UNASSIGNED
Overall, our study confirms that EVT for leakages even from large defects of the upper GI tract is feasible in most cases but comes with significant technical challenges.
Identifiants
pubmed: 35615653
doi: 10.3389/fsurg.2022.885244
pmc: PMC9124894
doi:
Types de publication
Journal Article
Langues
eng
Pagination
885244Informations de copyright
Copyright © 2022 Reimer, Lock, Flemming, Weich, Widder, Plaßmeier, Döring, Hering, Hankir, Meining, Germer, Groneberg and Seyfried.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Références
J Clin Med. 2021 May 27;10(11):
pubmed: 34071877
World J Gastrointest Endosc. 2019 May 16;11(5):329-344
pubmed: 31205594
Ann Surg. 2021 Nov 1;274(5):751-757
pubmed: 34334639
Dis Esophagus. 2017 Feb 1;30(3):1-5
pubmed: 27628015
Endoscopy. 2017 May;49(5):498-503
pubmed: 28107761
Surg Endosc. 2022 Mar;36(3):2208-2216
pubmed: 34973079
J Gastrointest Surg. 2016 Feb;20(2):237-43
pubmed: 26643296
J Gastrointest Surg. 2012 Jun;16(6):1083-95
pubmed: 22419007
World J Gastroenterol. 2021 Apr 28;27(16):1841-1846
pubmed: 33967561
Surg Endosc. 2022 Mar;36(3):1903-1909
pubmed: 33835253
Int J Surg Case Rep. 2017 Nov 16;41:401-403
pubmed: 29546001
Surg Endosc. 2013 Jun;27(6):2040-5
pubmed: 23247743
Surg Endosc. 2013 Oct;27(10):3883-90
pubmed: 23708716
Surg Endosc. 2017 Jun;31(6):2687-2696
pubmed: 27709328
Dis Esophagus. 2019 Jul 1;32(7):
pubmed: 30596963
Plast Reconstr Surg. 2006 Jun;117(7 Suppl):121S-126S
pubmed: 16799379