[Treatment of esophageal anastomotic leak with self-expanding metal stent].
Esophageal anastomotic leak after resection surgery is very hard to treat and Has a high mortality rate. Surgical treatment is extremely difficult, burdened by complications of subsequent postoperative complications (inability to repair). The authors present a case of a patient who underwent a resection of upper stomach and lower esophagus due to adenocarcinoma of the esophagus- stomach junction (Siewert II). A digestive tract X-ray with water-soluble kontrast was performer after seven days- it show and anastomotic leak. However, the patient was hemodynamically stable. It enabled to implant a self-expanding metal stent (Ultraflex) to the place of leak. In this case the procedure was successful, and radiological examination on the 14th day confirmed closure of the leak. Implantation of a self-expanding metal prosthesis as a way to treat anastomotic leak is a therapeutic option worth recommendation.
Kliniczny Oddział Chirurgii Ogólnej, Onkologicznej i Endokrynologicznej, Wojewódzki Szpital Zespolony w Kielcach. sgluszek@wp.pl
Stanisław
S
Głuszek
Kliniczny Oddział Chirurgii Ogólnej, Onkologicznej i Endokrynologicznej, Wojewódzki Szpital Zespolony w Kielcach.
Marta
M
Kot
Kliniczny Oddział Chirurgii Ogólnej, Onkologicznej i Endokrynologicznej, Wojewódzki Szpital Zespolony w Kielcach.
Łukasz
Ł
Nawacki
D000230:Adenocarcinoma / Q000601:surgery; D000328:Adult; D057868:Anastomotic Leak / Q000209:etiology / Q000628:therapy*; D013505:Digestive System Surgical Procedures / Q000009:adverse effects; D004867:Equipment Design; D004938:Esophageal Neoplasms / Q000601:surgery; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy*; D015607:Stents; D013274:Stomach Neoplasms / Q000601:surgery