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.
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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.
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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


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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


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