We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Anastomotic leakage following resection of the esophagus—introduction of an endoscopic grading system.
- Authors
Bachmann, Jeannine; Feith, Marcus; Schlag, Christoph; Abdelhafez, Mohamed; Martignoni, Marc E.; Friess, Helmut
- Abstract
Background: Malignant tumors of the esophagus are the sixth leading cause of cancer-related deaths worldwide. Postoperative leakage of the esophago-gastrostomy leads to mediastinal sepsis, which is still associated with a high morbidity and mortality rate. The aim of this study was to describe the endoscopic view of the different severity grades of an anastomotic leakage. Methods: Patients Between June 2016 and September 2018, 144 patients were operated upon in the Department of Surgery, University of Munich, Germany. Among these patients, 34 (23.6%) presented with a leakage of the anastomosis. Endoscopy In this retrospective analysis, the focus is to describe different patterns of leakage of the anastomosis. Results: We studied 34 patients in whom post-esophagectomy leakage of the anastomosis was detected and treated with an endoluminal vacuum sponge system. The leakage healed in 26 of 29 patients (success rate 89.7%). With the increasing severity of leakage, the treatment time and the in-hospital mortality correspondingly increased. Furthermore, the incidence of the development of a fistula to the tracheobronchial system increased with higher grades of leakage. Conclusions: Exact descriptions of leakage are necessary to compare the cases and to prove post-treatment improvement. This is, to our knowledge, the first publication to present a leakage grading score in patients after esophagectomy including reconstruction with a gastric tube. This new grading system needs to be tested in further analyses, with a special focus on prospective analysis.
- Subjects
GERMANY; UNIVERSITAT Munchen; LEAKAGE; ESOPHAGUS; ESOPHAGEAL tumors; ENDOSCOPIC surgery; GLEASON grading system; HOSPITAL mortality
- Publication
World Journal of Surgical Oncology, 2022, Vol 20, Issue 1, p1
- ISSN
1477-7819
- Publication type
Article
- DOI
10.1186/s12957-022-02551-z