| Autor: |
Maish, M. S., DeMeester, S. R., Choustoulakis, E., Briel, J. W., Hagen, J. A., Peters, J. H., Lipham, J. C., Bremner, C. G., DeMeester, T. R. |
| Předmět: |
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| Zdroj: |
Surgical Endoscopy & Other Interventional Techniques; Aug2005, Vol. 19 Issue 8, p1093-1102, 10p |
| Abstrakt: |
Background: Although rare, graft ischemia and necrosis after esophagectomy is a devastating complication. The aim of this study was to review our experience with early endoscopy for evaluation of the graft and anastomosis after esophagectomy and reconstruction.Methods: From a population of 479 patients who underwent esophagectomy during the years 1996-2003, we identified 102 patients who had endoscopy within 21 days of operation.Results: Endoscopy was performed a median of 9 days after operation. Graft ischemia, anastomotic leak, or both were found in 63 of the 102 patients. Reoperation was necessary in 27% of these patients, including graft removal in nine patients. In 39 patients, endoscopy demonstrated a healthy graft; only one of these patients (2.6%) required reoperation. No patient with ischemia judged insufficient to warrant graft removal on initial endoscopy subsequently lost their graft. There were no complications or anastomotic injuries associated with early endoscopy.Conclusion: Endoscopy early after esophagectomy is safe and provides accurate and reliable identification of graft ischemia that can be used to guide the treatment of these patients. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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