Endoscopic trans-fistula drainage for gastroesophageal anastomotic fistula with para-fistula abscess after esophagectomy / 浙江大学学报·医学版
Journal of Zhejiang University. Medical sciences
; (6): 637-642, 2017.
Article
in Zh
| WPRIM
| ID: wpr-819070
Responsible library:
WPRO
ABSTRACT
Objective: To evaluate the efficiency and safety of endoscopic trans-fistula drainage (ETFD) for gastroesophageal anastomotic fistula with para-fistula abscess after esophagectomy. Methods: Among 456 esophageal cancer patients receiving esophagectomy between February 2012 and February 2017 in Sir Run Run Shaw Hospital, 15 cases were diagnosed as gastroesophageal anastomotic fistula with para-fistula abscess after surgery. Seven cases received ETFD treatment (ETFD group), and 8 cases received conventional treatment (control group). Recovery of inflammatory markers and fistula, length of hospital stay after esophagectomy and total medical expenses were compared between ETFD group and control group. Results: All patients recovered in ETFD group. Time of white cell count returning to normal and decline of C-reactive protein, time of fistula healing and length of hospital stay after esophagectomy in ETFD group were significantly shorter than those of control group (all PPConclusion: ETFD is effective and safe for gastroesophageal anastomotic fistula with para-fistula abscess after esophagectomy.
Full text:
1
Database:
WPRIM
Main subject:
General Surgery
/
Esophageal Neoplasms
/
Drainage
/
Retrospective Studies
/
Esophagectomy
/
Abscess
/
Anastomotic Leak
/
Fistula
Type of study:
Observational_studies
Limits:
Humans
Language:
Zh
Journal:
Journal of Zhejiang University. Medical sciences
Year:
2017
Document type:
Article