Year 2022 / Volume 114 / Number 7
Letter
Experience in the treatment of esophageal anastomosis dehiscence using self-expanding metallic prosthesis

432-433

DOI: 10.17235/reed.2022.8692/2022

María Martínez Burgos, Isabela Angulo McGrath, Ana Isabel Morales Bermudez, Luis Vázquez Pedreño, David Marín García, Asunción Durán Campos, Miguel Jiménez Pérez,

Abstract
Introduction: esophageal anastomosis dehiscence is a serious complication after esophageal cancer surgery with high mortality risk. One of the treatment options is self-expanding esophageal prostheses. Our aim was to evaluate the outcome of esophageal prostheses in the management of suture dehiscences after oncologic surgery. Material and methods: we performed a descriptive and retrospective study with patients diagnosed with esophageal anastomosis fistula or dehiscence treated by esophageal prosthesis between the years 2015 and 2021. We considered technical success as the correct positioning of the prosthesis with visualization of anastomotic leak closure after release of the prosthesis during endoscopy, and clinical success the resolution of dehiscence after removal of the prosthesis 8 weeks after positioning. Results: technical success was 95% and clinical success 89%. Conclusion: in our center, esophageal prostheses are a treatment option for fistulas and anastomotic dehiscence after surgery with a high success rate and few complications.
Share Button
New comment
Comments
No comments for this article
References
1- López M, Couto I, González B et al. Empleo de prótesis autoexpandibles en el tratamiento de las dehiscencias postquirúrgicas esofágicas. Endoscopy 2017; 49(11): 1129-1194. DOI: 10.1055/s-0037-1607608
2- Alburquerque M, Mohamed F, Planellas P et al. UTILIDAD DE LAS PROTESIS AUTO-EXPANDIBLES EN EL TRATAMIENTO DE LAS DEHISCENCIAS DE SUTURA DE ANASTOMOSIS ESOFAGO – GASTRICAS DE CAUSA NEOPLASIC. Endoscopy 2011; 43 - A66. DOI: 10.1055/s-0031-1293094
3- Oliveros R, Pinilla R, Contreras H et al. Manejo de las fístulas de las anastomosis esófagointestinales con prótesis autoexpandibles (PAE) en pacientes con cáncer. Reporte de casos. Revista Colombiana de Gastroenterología vol.29 no.3 Bogotá Sept. 2014
4- Elena Iglesias Jorquera, Juan Egea Valenzuela, Andrés Serrano Jiménez. Endoscopic treatment of postoperative esophagogastric leaks with fully covered self-expanding metal stents. Rev Esp Enferm Dig . 2021 Jan;113(1):14-22. doi: 10.17235/reed.2020.6821/2019.
Related articles

Letter

Treatment with hyperbaric oxygen in a Crohn’s disease patient

DOI: 10.17235/reed.2024.10166/2023

Digestive Diseases Image

Crack cocaine abuse as an undescribed cause of gastric outlet obstruction

DOI: 10.17235/reed.2022.8438/2021

Letter

Surprises in cecal intubation: foreign bodies in the colon

DOI: 10.17235/reed.2021.8155/2021

Letter

Problems with a prophylactic non-expulsive pancreatic stent

DOI: 10.17235/reed.2020.7001/2020

Citation tools
Martínez Burgos M, Angulo McGrath I, Morales Bermudez A, Vázquez Pedreño L, Marín García D, Durán Campos A, et all. Experience in the treatment of esophageal anastomosis dehiscence using self-expanding metallic prosthesis. 8692/2022


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 776 visits.
This article has been downloaded 55 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 07/02/2022

Accepted: 14/02/2022

Online First: 16/02/2022

Published: 07/07/2022

Article Online First time: 9 days

Article editing time: 150 days


Share
This article has been rated by 4 readers.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology