title: [Anastomotic insufficiencies of the esophagus--early surgical endoscopy and endoscopic therapy].
abstract: Therapeutic value of flexible endoscopy regarding treatment of esophagoenteric anastomotic leakage was retrospectively analyzed in 56 patients (female n = 13, male n = 43, age 60 years, 1/1992-4/2000). Endoscopic treatment was performed in 44 patients (self-expanding metal stent n = 38, fibrin glue n = 16, feeding tube/decompression tube n = 20, endoscopic percutaneous jejunostomy n = 8), interventional radiological technique in 4 patients and surgical treatment in 11 patients. All patients with open surgical reintervention developed reinsufficiency of the anastomosis. Successful endoscopic therapy was achieved in 75% with a mortality of 21.4%. Endoscopic treatment of esophageal anastomotic insufficiency is an effective alternative to conventional re-thoracotomy. The appropriate endoscopic intervention needs to be decided individually depending on diagnosis and location.
authors.affiliation: Universitätsklinikum Mannheim gGmbH, Theodor-Kutzer-Ufer 1-3, 68135 Mannheim.
authors.forename: H
authors.initials: H
authors.lastname: Schmidt
authors.forename: B C
authors.initials: BC
authors.lastname: Manegold
authors.forename: D
authors.initials: D
authors.lastname: Stüker
authors.forename: K E
authors.initials: KE
authors.lastname: Grund
mesh_terms: D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D004945:Esophagoscopy; D004947:Esophagus / Q000601:surgery*; D005260:Female; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D013529:Surgical Wound Dehiscence / Q000401:mortality / Q000601:surgery*; D015996:Survival Rate; D016896:Treatment Outcome