内镜下真空治疗食管癌切除术后持续性吻合口漏的成功案例报告
Success of endoscopic vacuum therapy for persistent anastomotic leak after esophagectomy - A case report.
作者信息
Satoskar Savni, Kashyap Sarang, Benavides Francisco, Jones Robert, Angelico Richard, Singhal Vinay
机构信息
Easton Hospital, 250 S 21st Street, Easton, PA, 18042, United States; St Luke's University Health Network, 801 Ostrum Street, Bethlehem, PA, 18015, United States.
Easton Hospital, 250 S 21st Street, Easton, PA, 18042, United States; Beckley ARH Hospital, 306 Stanaford Rd, Beckley, WV, 25801, United States.
出版信息
Int J Surg Case Rep. 2021 Mar;80:105342. doi: 10.1016/j.ijscr.2020.11.092. Epub 2020 Nov 20.
INTRODUCTION
Endoscopic vacuum (endovac) therapy has shown excellent outcomes when used for esophageal anastomotic leaks. The results of endovac therapy are superior to those of other endoscopic therapies for esophageal leaks.
CASE PRESENTATION
We present a case of a 70-year-old male with esophageal adenocarcinoma who underwent Ivor Lewis esophagogastrectomy that was complicated by an esophageal leak. After failure of multiple endoscopic therapies (i.e. stents and clips), he responded well to endovac therapy.
DISCUSSION
Endovac therapy is extremely useful for the treatment of esophageal leaks. The widespread use of endovac therapy is feasible, even in smaller community hospitals.
CONCLUSION
Endovac therapy is a valuable tool that can be used widely for the management of esophageal leaks. Commercially available devices need to be developed in order to facilitate endovac placement and exchange so that the procedure is less dependent on the skill of the operator.
引言
内镜下真空（endovac）治疗用于食管吻合口漏时已显示出优异的效果。Endovac治疗的结果优于其他用于食管漏的内镜治疗。
病例报告
我们报告一例70岁男性食管腺癌患者，其接受了艾弗·刘易斯食管胃切除术，术后并发食管漏。在多种内镜治疗（即支架和夹子）失败后，他对endovac治疗反应良好。
讨论
Endovac治疗对食管漏的治疗极为有用。即使在较小的社区医院，endovac治疗的广泛应用也是可行的。
结论
Endovac治疗是一种有价值的工具，可广泛用于食管漏的管理。需要开发市售设备以促进endovac的放置和更换，使该操作较少依赖操作者的技能。
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