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Eso-SPONGE®疗法治疗Ivor-Lewis食管次全切除术后吻合口漏的疗效:病例报告

The success of Eso-SPONGE® therapy in the treatment of anastomotic dehiscence after Ivor-Lewis subtotal esophagectomy: A case report.

作者信息

Radaelli Lorenzo Federico Zini, Aramini Beatrice, Ciarrocchi Angelo, Sanna Stefano, Argnani Desideria, Stella Franco

机构信息

Thoracic Surgery Unit, Dipartment of Diagnostic and Specialty Medicine - DIMES of the Alma Mater Studiorum, University of Bologna, G.B. Morgagni - L. Pierantoni Hospital, 34 Carlo Forlanini Street, 47121 Forlì, Italy.

出版信息

Int J Surg Case Rep. 2021 Nov;88:106525. doi: 10.1016/j.ijscr.2021.106525. Epub 2021 Oct 18.

DOI:10.1016/j.ijscr.2021.106525
PMID:34688073
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8536516/
Abstract

INTRODUCTION

Eso-SPONGE® has proved to be an excellent method for the treatment of persistent dehiscence of the intrathoracic esophagogastric anastomosis during the operation of subtotal esophagectomy sec. Ivor Lewis.

CLINICAL CASE PRESENTATION

The case presented is of a 72-year-old patient with esophageal adenocarcinoma (ADK) who underwent sub-total esophagectomy and esophagoplasty sec. Ivor Lewis complicated by an esophageal leak. The Eso-SPONGE® therapy has been successful halving the index of inflammation after the first two sessions and generation of a neowall after seven sessions.

DISCUSSION

Eso-SPONGE® therapy has proven to be a valuable resource as a treatment for esophageal anastomotic dehiscences because it is easily repeatable in suburban centers, provided that they have a digestive endoscopy specialized in the positioning process.

CONCLUSIONS

Eso-SPONGE® is a minimally invasive method that delivers excellent results in the treatment of fragile patients, such as those who have post-esophageal anastomotic dehiscence.

摘要

引言

在艾弗·刘易斯(Ivor Lewis)式次全食管切除术中,Eso-SPONGE®已被证明是治疗胸段食管胃吻合口持续裂开的一种极佳方法。

临床病例介绍

所呈现的病例是一名72岁的食管腺癌(ADK)患者,他接受了艾弗·刘易斯式次全食管切除术和食管成形术,术后出现食管漏。Eso-SPONGE®疗法取得了成功,在前两次治疗后炎症指标减半,七次治疗后形成了新壁。

讨论

Eso-SPONGE®疗法已被证明是治疗食管吻合口裂开的一种有价值的方法,因为只要郊区中心有专门从事定位过程的消化内镜,就可以很容易地重复进行。

结论

Eso-SPONGE®是一种微创方法,在治疗如食管吻合口裂开后的脆弱患者方面能取得优异效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/8536516/26ec66da6a47/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/8536516/316a1f1b85e7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/8536516/767ac92c43fe/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/8536516/55ffee4bc63c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/8536516/26ec66da6a47/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/8536516/316a1f1b85e7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/8536516/767ac92c43fe/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/8536516/55ffee4bc63c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/8536516/26ec66da6a47/gr4.jpg

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