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Update on therapeutic strategy for esophageal anastomotic leak: A systematic literature review.
Hua, Feng; Sun, Dongfeng; Zhao, Xiaoming; Song, Xuemin; Yang, Wenfeng.
Afiliação
  • Hua F; Department of Thoracic Surgery, Shandong Cancer Hospital and Institute Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.
  • Sun D; Department of Thoracic Surgery, Shandong Cancer Hospital and Institute Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.
  • Zhao X; Department of Thoracic Surgery, Shandong Cancer Hospital and Institute Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.
  • Song X; Department of Thoracic Surgery, Shandong Cancer Hospital and Institute Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.
  • Yang W; Department of Thoracic Surgery, Shandong Cancer Hospital and Institute Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.
Thorac Cancer ; 14(4): 339-347, 2023 02.
Article em En | MEDLINE | ID: mdl-36524684
ABSTRACT
Anastomotic leak is still a severe complication in esophageal surgery due to high mortality. This article reviews the updates on the treatment of anastomotic leak after esophagectomy in order to provide reference for clinical treatment and research. The relevant studies published in the Chinese Zhiwang, Wanfang, and MEDLINE databases to December 21, 2021 were retrieved, and esophageal carcinoma, esophagectomy, anastomotic leakage, and fistula selected as the keywords. A total of 78 studies were finally included. The treatments include traditional surgical drainage, new reverse drainage trans-fistula, stent plugging, endoscopic clamping, biological protein glue injection plugging, endoluminal vacuum therapy (EVT), and reoperation, etc. Early diagnosis, accurate classification and optimal treatment can promote the rapid healing of anastomotic leaks. EVT may be the most valuable approach, simultaneously with good commercial prospects. Reoperation should be considered in patients with complex fistula in which conservative treatment is insufficient or has failed.
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Texto completo: 1 Coleções: 01-internacional Temas: Geral / Tipos_de_cancer / Esofago Base de dados: MEDLINE Assunto principal: Neoplasias Esofágicas / Fístula Anastomótica Tipo de estudo: Risk_factors_studies / Screening_studies / Systematic_reviews Limite: Humans Idioma: En Revista: Thorac Cancer Ano de publicação: 2023 Tipo de documento: Article País de afiliação: China

Texto completo: 1 Coleções: 01-internacional Temas: Geral / Tipos_de_cancer / Esofago Base de dados: MEDLINE Assunto principal: Neoplasias Esofágicas / Fístula Anastomótica Tipo de estudo: Risk_factors_studies / Screening_studies / Systematic_reviews Limite: Humans Idioma: En Revista: Thorac Cancer Ano de publicação: 2023 Tipo de documento: Article País de afiliação: China