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用于食管切除及胃上提术后封闭颈部吻合口漏的自膨式带膜金属气管型支架:陷阱与可能性

Self-expandable covered metal tracheal type stent for sealing cervical anastomotic leak after esophagectomy and gastric pull-up: pitfalls and possibilities.

作者信息

Lindenmann Joerg, Matzi Veronika, Porubsky Christian, Anegg Udo, Sankin Oliver, Gabor Sabine, Neuboeck Nicole, Maier Alfred, Smolle-Juettner Freyja Maria

机构信息

Division of Thoracic and Hyperbaric Surgery, Department of Surgery, Medical University Graz, Graz, Austria.

出版信息

Ann Thorac Surg. 2008 Jan;85(1):354-6. doi: 10.1016/j.athoracsur.2007.06.044.

DOI:10.1016/j.athoracsur.2007.06.044
PMID:18154853
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.

摘要

2003年1月至2006年6月,6例食管癌切除及胃上提术后颈段食管胃吻合口漏患者接受了使用可自膨式覆膜气管型装置的内镜支架置入术。吻合口愈合情况良好。平均91天后进行支架取出。2例患者出现初始支架移位,3例患者发生取出后狭窄。置入可自膨式覆膜金属气管支架是一种安全的方法,可使颈段吻合口漏立即闭合并随后愈合。

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