Role of Self-expanding Stents in the Treatment of Intrathoracic Dehiscence After Ivor Lewis Esophagectomy

ConclusionsStents are safe and effective devices that did not associate mortality in our series. They are especially indicated in intermediate or late-onset dehiscence and in fragile patients. The use of stents, together with mediastinal and pleural drainage, avoid reoperations with morbidity and mortality. Therefore, stents should be part of the usual therapeutic arsenal for the resolution of most suture dehiscences after Ivor Lewis esophagectomy. Randomized prospective studies would help to more precisely determine the role played by these devices in the treatment of dehiscence after transthoracic esophagectomy.ResumenIntroducciónEl papel que desempeñan las endoprótesis autoexpandibles en el tratamiento de las dehiscencias tras la esofagectomía transtorácica no está bien definido y resulta controvertido. Nuestro objetivo es mostrar la experiencia en un hospital de tercer nivel con el empleo de estos dispositivos en las dehiscencias tras la esofagectomía de Ivor Lewis.MétodosEstudio observacional descriptivo de los pacientes que han presentado una dehiscencia de anastomosis tras una esofagectomía transtorácica y, en especial, de aquellos tratados mediante endoprótesis, en el periodo comprendido entre 2011 y 2016 en nuestro centro hospitalario.ResultadosDiez pacientes (11,8%) presentaron una dehiscencia anastomótica, 8 de los cuales recibieron endoprótesis. Un paciente portador de endop...
Source: Cirugia Espanola - Category: Surgery Source Type: research

Related Links:

Condition:   Drug Safety ; Drug Specificity Intervention:   Drug: Cetuximab-IRDye800 Sponsor:   Fifth Affiliated Hospital, Sun Yat-Sen University Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
No abstract available
Source: Annals of Surgery - Category: Surgery Tags: LETTERS AND REPLIES Source Type: research
No abstract available
Source: Annals of Surgery - Category: Surgery Tags: LETTERS AND REPLIES Source Type: research
No abstract available
Source: Annals of Surgery - Category: Surgery Tags: LETTERS AND REPLIES Source Type: research
Conclusions and Relevance: Few hospitals would meet TVP volume thresholds for complex cancer resections with little difference in outcomes between ILV, IHV, and HV hospitals. While a policy to regionalize complex surgical care may have merit, it could also compromise patient autonomy and limit access to care if patients are unable or unwilling to travel.
Source: Annals of Surgery - Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research
Conclusions: The long-term survival after MIE compares well with OE and may even be better. Thus, MIE can be recommended as a standard surgical approach for esophageal cancer.
Source: Annals of Surgery - Category: Surgery Tags: META-ANALYSES Source Type: research
ConclusionsAlthough postoperative pneumonia is associated with many clinical variables, active medical intervention for the prevention of pneumonia in patients with multiple risk factors can improve the postoperative course. In particular, perioperative nutritional care may prevent postoperative pneumonia in patients with malnutrition and a poor PS.
Source: Surgery Today - Category: Surgery Source Type: research
Conclusions CbSAS90 was feasible and effective for ablating larger BE areas. The optimal dose for circumferential treatment that balances safety and efficacy requires further evaluation. [...] © Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: Endoscopy - Category: Gastroenterology Authors: Tags: Original article Source Type: research
Publication date: Available online 9 November 2019Source: The Annals of Thoracic SurgeryAuthor(s): Zaid M. Abdelsattar, Elizabeth Habermann, Bijan J. Borah, James P. Moriarty, Ricardo L. Rojas, Shanda H. BlackmonAbstractBACKGROUNDData on failure to rescue (FTR) after esophagectomy are sparse. We sought to better understand the patient factors associated with FTR, and assessed whether FTR is associated with hospital volume.METHODSWe identified all patients undergoing esophagectomy between 2010 and 2014 from the AHRQ Nationwide Readmission Database. We defined FTR as mortality after a major complication. Multiple logistic re...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
Abstract BACKGROUND: Data on failure to rescue (FTR) after esophagectomy are sparse. We sought to better understand the patient factors associated with FTR, and assessed whether FTR is associated with hospital volume. METHODS: We identified all patients undergoing esophagectomy between 2010 and 2014 from the AHRQ Nationwide Readmission Database. We defined FTR as mortality after a major complication. Multiple logistic regression was used to identify patient factors and hospital-volume associations with FTR. RESULTS: Of 26,820 patients undergoing an esophagectomy, 7,130 (26.6%) experienced a major complic...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Ann Thorac Surg Source Type: research
More News: Esophagectomy | Study | Surgery