Management of anastomotic leaks after esophagectomy and gastric pull-up

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Post-esophagectomy anastomotic leaks

OBJECTIVE: Esophageal anastomotic leaks are associated with significant morbidity and mortality. The purpose of this study was to retrospectively assess the role of the anastomotic positioning (thoracic or cervical) on the incindence of the anastomotic leak and its severity. METHODS: In the period 2002-07, we have performed extended esophagectomy with a curative-intent in 63 patients with esoph...

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Intraoperative Assessment of Perfusion of the Gastric Graft and Correlation With Anastomotic Leaks After Esophagectomy

OBJECTIVE The aim of the study was to evaluate laser-assisted fluorescent-dye angiography (LAA) to assess perfusion in the gastric graft and to correlate perfusion with subsequent anastomotic leak. BACKGROUND Anastomotic leaks are a major source of morbidity after esophagectomy with gastric pull-up (GPU). In large part, they occur as a consequence of poor perfusion in the gastric graft. MET...

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The Role of Pyloromyotomy on Gastric Drainage in Esophagectomy and Gastric Pull-up Procedures: A Randomized Clinical Trial Study

Introduction: Gastric drainage disorder is one of the complications of gastric pull-up and esophagectomy after surgery which might lead to esophageal cancer and benign strictures. The aim of this study was to determine the role of pyloromyotomy on gastric drainage. Materials and Methods: In this prospective randomized controlled clinical trial study, we studied 51 patients in two matched groups...

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comparison of pyloromyotomy, pyloric buginage, and intact pylorus on gastric drainage in gastric pull?up surgery after esophagectomy

background: there are controversies regarding the usefulness of the pyloric drainage methods after esophagectomy as well as differences among various pyloric drainage techniques. therefore, we compared the outcome of pyloromyotomy, pylorus buginage, and no intervention methods on gastric emptying among patients undergone esophagectomy. materials and methods: in this randomized clinical trial, p...

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[Cervical anastomotic leak after esophagectomy: diagnosis and management].

INTRODUCTION Cervical anastomotic leaks after esophagectomy are still a frequent and severe complication that needs an early diagnosis and an appropriate treatment. The aim of this study was to describe our experience with the management of this complication. PATIENTS AND METHODS Retrospective study (2003-2011) of a consecutive series of 77 patients with a cervical esophagogastric anastomosis...

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ژورنال

عنوان ژورنال: Journal of Thoracic Disease

سال: 2020

ISSN: 2072-1439,2077-6624

DOI: 10.21037/jtd.2020.01.15