title: Self-expandable covered metal tracheal type stent for sealing cervical anastomotic leak after esophagectomy and gastric pull-up: pitfalls and possibilities.
abstract: From January 2003 to June 2006, 6 patients with leakage of the cervical esophagogastrostomy after esophagectomy and gastric pull-up underwent endoscopic stenting using the self-expandable covered tracheal type device. Anastomotic healing was satisfactory. Stent extraction was performed after an average interval of 91 days. Initial stent migration occurred in 2 patients and post-extraction stenosis developed in 3 patients. Insertion of a self-expandable covered metal tracheal stent represents a safe approach resulting in immediate closure and subsequent healing of cervical anastomotic leakage.
authors.affiliation: Division of Thoracic and Hyperbaric Surgery, Department of Surgery, Medical University Graz, Graz, Austria.
authors.forename: Joerg
authors.initials: J
authors.lastname: Lindenmann
authors.forename: Veronika
authors.initials: V
authors.lastname: Matzi
authors.forename: Christian
authors.initials: C
authors.lastname: Porubsky
authors.forename: Udo
authors.initials: U
authors.lastname: Anegg
authors.forename: Oliver
authors.initials: O
authors.lastname: Sankin
authors.forename: Sabine
authors.initials: S
authors.lastname: Gabor
authors.forename: Nicole
authors.initials: N
authors.lastname: Neuboeck
authors.forename: Alfred
authors.initials: A
authors.lastname: Maier
authors.forename: Freyja Maria
authors.initials: FM
authors.lastname: Smolle-Juettner
mesh_terms: D000714:Anastomosis, Surgical / Q000009:adverse effects* / Q000379:methods; D021721:Balloon Occlusion / Q000295:instrumentation*; D020099:Coated Materials, Biocompatible; D004937:Esophageal Fistula / Q000209:etiology / Q000628:therapy*; D004938:Esophageal Neoplasms / Q000175:diagnosis / Q000601:surgery; D016629:Esophagectomy / Q000009:adverse effects / Q000379:methods; D004945:Esophagoscopy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005774:Gastrostomy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008670:Metals; D011183:Postoperative Complications; D012189:Retrospective Studies; D018570:Risk Assessment; D015607:Stents; D016896:Treatment Outcome
chemical_list: D020099:Coated Materials, Biocompatible; D008670:Metals