[Advanced endoscopic vacuum therapy for anastomotic leakage in the upper gastrointestinal tract].

Autor:	Baryshev AG; Research Institute - Ochapovsky Regional Clinic Hospital No. 1, Krasnodar, Russia.; Kuban State Medical University, Krasnodar, Russia., Popov AY; Research Institute - Ochapovsky Regional Clinic Hospital No. 1, Krasnodar, Russia., Shevchenko MS; Research Institute - Ochapovsky Regional Clinic Hospital No. 1, Krasnodar, Russia., Bykov MI; Research Institute - Ochapovsky Regional Clinic Hospital No. 1, Krasnodar, Russia.; Kuban State Medical University, Krasnodar, Russia., Eskina EN; Kuban State Medical University, Krasnodar, Russia., Lysov EE; Kuban State Medical University, Krasnodar, Russia.
Jazyk:	ruština
Zdroj:	Khirurgiia [Khirurgiia (Mosk)] 2023 (3), pp. 14-18.
DOI:	10.17116/hirurgia202303114
Abstrakt:	Objective: To evaluate the effectiveness and clinical aspects of advanced endoscopic vacuum therapy for esophagogastric, esophagointestinal and gastrointestinal anastomotic leakage, to identify disadvantages and further possibilities for its improvement. Material and Methods: The study included 69 people. Esophagodudodenal anastomotic leakage was detected in 34 patients (49.27%), gastroduodenal anastomotic leakage - in 30 patients (43.48%), esophagogastric anastomotic leakage - in 4 (7.25%) patients. Advanced endoscopic vacuum therapy was used for these complications. Results: Vacuum therapy in patients with esophagodudodenal anastomotic leakage led to complete healing of defect in 31 (91.18%) cases. In 4 (14.8%) cases, minor bleeding was noted during replacement of vacuum dressing. There were no other complications. Three (8.82%) patients died from secondary complications. Treatment of gastroduodenal anastomotic failure resulted complete healing of defect in 24 (80%) patients. Six (20%) patients died including 4 (66.67%) cases associated with secondary complications. Vacuum therapy for esophagogastric anastomotic leakage resulted complete healing of defect in 4 (100%) patients. Conclusion: Advanced endoscopic vacuum therapy is a simple, effective and safe method of therapy for esophagogastric, esophagoduodenal and gastrointestinal anastomotic leakage.
Databáze:	MEDLINE
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