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 Chinese
| WPRIM (Western Pacific)
| 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:
Available
Database:
WPRIM (Western Pacific)
Main subject:
General Surgery
/
Esophageal Neoplasms
/
Drainage
/
Retrospective Studies
/
Esophagectomy
/
Abscess
/
Anastomotic Leak
/
Fistula
Type of study:
Observational study
Limits:
Humans
Language:
Chinese
Journal:
Journal of Zhejiang University. Medical sciences
Year:
2017
Document type:
Article