Endoscopic and surgical management of leakage and mediastinitis after esophageal surgery

Messmann, Helmut and Schmidbaur, Werner and Jaeckle, Jürgen and Fuerst, Alois and Lesalnieks, Igors (2004) Endoscopic and surgical management of leakage and mediastinitis after esophageal surgery. BEST PRACTICE & RESEARCH CLINICAL GASTROENTEROLOGY, 18 (5). pp. 809-827. ISSN 1521-6918, 1532-1916

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Abstract

Due to the specialisation of esophageal surgery a significant reduction of post-surgical mortality was possible during the last few decades. Nevertheless a high complication rate of about 30% remains even in the hands of experienced surgeons. Anastomotic leakage has an incidence between 5 and 30% leading to serious postoperative morbidity. With a broad range of conservative and endoscopic therapeutic methods there is encouraging progress in shortening the time to closure of the leakage and reducing the risk of severe systemic complications such as sepsis or malnutrition. If conservative therapy fails, re-surgery remains as an ultima-ratio option.

Item Type: Article
Uncontrolled Keywords: UPPER GASTROINTESTINAL SURGERY; TOTAL PARENTERAL-NUTRITION; CONSERVATIVE MANAGEMENT; TRANSHIATAL ESOPHAGECTOMY; ENTEROCUTANEOUS FISTULAS; ESOPHAGOGASTRIC SURGERY; ESOPHAGOPLEURAL FISTULA; POSTOPERATIVE FISTULAS; ANASTOMOTIC LEAKAGE; COMPLICATIONS; esophageal fistula; postoperative complications; digestive system fistula; anastomosis leakage; endoscopy; endoscopic therapy; surgical therapy
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Chirurgie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 28 Jun 2021 05:47
Last Modified: 28 Jun 2021 05:47
URI: https://pred.uni-regensburg.de/id/eprint/37098

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