[Endoscopic prosthetic treatment of the esophagojejunal leaks after total gastrectomy: clinical experience].
The Authors, on the basis of their experience on the use of self-expanding prostheses in abdominal surgery, report on the use of these prostheses in two patients who, having undergone a gastrectomy for cancer, developed a fistula of the esophago-jejunal anastomosis. Given recent data from literature, using a prosthesis for an anastomotic fistula may be a valid alternative to a second operation, which, apart from obvious difficulties, has a high mortality rate in patients in weakened general health conditions. In these cases, after the application of a stent, excellent results can be obtained and, after some days, the patients can begin a semi-liquid diet, then proceeding to a semi-solid diet, improving quality of life; in addition, within a reasonable time span, after the healing of the fistula, the prosthesis can easily be removed by endoscopy.
Versaci
A
A
Cattedra di Chirurgia Generale, Università degli Studi di Messina.
Macrì
A
A
Scuderi
G
G
Certo
A
A
Sfuncia
G
G
Oliva
D
D
Incardona
A
A
Bonica
M
M
Familiari
L
L
D000230:Adenocarcinoma / Q000601:surgery; D000368:Aged; D000714:Anastomosis, Surgical / Q000009:adverse effects*; D016145:Endoscopy, Digestive System; D004947:Esophagus / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000009:adverse effects*; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D015607:Stents; D013274:Stomach Neoplasms / Q000601:surgery; D013997:Time Factors; D016896:Treatment Outcome