title: [Endoscopic prosthetic treatment of the esophagojejunal leaks after total gastrectomy: clinical experience].
abstract: 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.
authors.affiliation: Cattedra di Chirurgia Generale, Università degli Studi di Messina.
authors.forename: A
authors.initials: A
authors.lastname: Versaci
authors.forename: A
authors.initials: A
authors.lastname: Macrì
authors.forename: G
authors.initials: G
authors.lastname: Scuderi
authors.forename: A
authors.initials: A
authors.lastname: Certo
authors.forename: G
authors.initials: G
authors.lastname: Sfuncia
authors.forename: D
authors.initials: D
authors.lastname: Oliva
authors.forename: A
authors.initials: A
authors.lastname: Incardona
authors.forename: M
authors.initials: M
authors.lastname: Bonica
authors.forename: L
authors.initials: L
authors.lastname: Familiari
mesh_terms: 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