Role of Endoscopic Vacuum Therapy as a Treatment for Anastomosis Leak after Esophageal Cancer Surgery
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 205-210, 2020.
Artigo
| WPRIM
| ID: wpr-835266
ABSTRACT
Esophageal anastomotic leak is the most common and serious complication followingesophagectomy. However, the standard treatment for anastomotic leaks remains unclear.Recently, endoscopic vacuum therapy has become an important non-surgical alternativetreatment method for patients with esophageal anastomotic leak. This treatment involvesthe endoscopic placement of a sponge connected to a nasogastric tube into the defectcavity or lumen. Subsequently, continuous negative pressure is delivered to the cavitythrough the tube. Several studies have reported a treatment success rate of 80% to 100%.In this study, we review the mechanism of action, the method of performing the procedure,its safety and efficacy, and prognostic factors for failure of endoscopic vacuum therapyin the management of patients with anastomotic leak, and on this basis attempted toconfirm the possibility of establishing a standardized treatment protocol using endoscopicvacuum therapy.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Tipo de estudo:
Guia de Prática Clínica
/
Estudo prognóstico
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Ano de publicação:
2020
Tipo de documento:
Artigo
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