Autor: |
Stanislaus Reimer, Johan F. Lock, Sven Flemming, Alexander Weich, Anna Widder, Lars Plaßmeier, Anna Döring, Ilona Hering, Mohammed K. Hankir, Alexander Meining, Christoph-Thomas Germer, Kaja Groneberg, Florian Seyfried |
Jazyk: |
angličtina |
Rok vydání: |
2022 |
Předmět: |
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Zdroj: |
Frontiers in Surgery, Vol 9 (2022) |
Druh dokumentu: |
article |
ISSN: |
2296-875X |
DOI: |
10.3389/fsurg.2022.885244 |
Popis: |
BackgroundEndoscopic vacuum therapy (EVT) is an evidence-based option to treat anastomotic leakages of the upper gastrointestinal (GI) tract, but the technical challenges and clinical outcomes of patients with large defects remain poorly described.MethodsAll patients with leakages of the upper GI tract that were treated with endoscopic negative pressure therapy at our institution from 2012–2021 were analyzed. Patients with large defects (>30 mm) as an indicator of complex treatment were compared to patients with smaller defects (control group).ResultsNinety-two patients with postoperative anastomotic or staplerline leakages were identified, of whom 20 (21.7%) had large defects. Compared to the control group, these patients required prolonged therapy (42 vs. 14 days, p |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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