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Effective management of intrathoracic anastomotic leak with covered self-expandable metal stents. Report on three cases

Profili, Stefano and Feo, Claudio F. and Cossu, Maria Laura and Scanu, Antonio Mario and Scognamillo, Fabrizio and Meloni, Francesco and Scaglione, Mariano and Meloni, Giovanni Battista (2008) Effective management of intrathoracic anastomotic leak with covered self-expandable metal stents. Report on three cases. Emergency Radiology, Vol. 15 (1), p. 57-60. eISSN 1438-1435. Article.

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DOI: 10.1007/s10140-007-0630-0

Abstract

Intrathoracic anastomotic leakage is one of the major complications of esophageal surgery that can lead to high mortality rate. Depending on the clinical presentation, therapeutic options include surgical reintervention and conservative management with or without external drainage or stenting. In this paper, we report a series of three patients, two men and one woman, mean age of 55.6 years (range 34–68 years), having intrathoracic anastomotic leak after esophagogastrectomy treated by insertion of four covered self-expandable metal stents performed exclusively under fluoroscopic view. Complete resolution of the leakage was obtained in all patients. Despite the limited number of patients, conservative management of intrathoracic anastomotic leaks with covered self-expandable metal stents performed under fluoroscopic guidance has proved to be rapid, safe, and effective in all cases of this series.

Item Type:Article
ID Code:4848
Status:Published
Refereed:Yes
Uncontrolled Keywords:Esophagogastrectomy, anastomotic leak, interventional procedures, stents
Subjects:Area 06 - Scienze mediche > MED/31 Otorinolaringoiatria
Area 06 - Scienze mediche > MED/36 Diagnostica per immagini e radioterapia
Area 06 - Scienze mediche > MED/18 Chirurgia generale
Divisions:001 Università di Sassari > 03 Istituti > Scienze radiologiche
001 Università di Sassari > 03 Istituti > Patologia chirurgica
001 Università di Sassari > 03 Istituti > Oftalmologia, Otorinolaringoiatria e Urologia
Publisher:Springer
eISSN:1438-1435
Copyright Holders:© Am Soc Emergency Radiol 2007
Deposited On:16 Nov 2010 17:48

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