Chirurgia (Bucur). 2022 Apr;117(2):175-179. doi: 10.21614/chirurgia.2711.
Anastomotic fistulas after surgery for esophageal cancer, remain a challenge for both the surgeon and the gastroenterologist. The aim of the study is to highlight the role of esophageal stenting in the management of leaks after esophagectomy for malignancies. We reviewed the available literature on the endoscopic treatment of esophageal anastomotic leaks, especially articles on endoscopic stenting in the management of this complication. Pubmed and ClinicalKey databases were searched using keywords such as esophageal anastomotic leaks, fully covered self-expanding metal stents, esophageal neoplasm. The relevant literature has been reviewed and included in the article. Results and The insertion of self-expanding stents in the fistulas of the esophageal anastomosis, represents an efficient method of treatment both for the closure of the fistula and in the control of sepsis. The morbidity and mortality associated with this method of treatment may be significant.
食管癌手术后的吻合口瘘仍然是外科医生和胃肠病学家面临的挑战。本研究旨在强调食管支架在恶性肿瘤食管切除术后吻合口漏治疗中的作用。我们回顾了有关内镜治疗食管吻合口漏的文献,特别是关于内镜支架治疗这种并发症的文章。使用食管吻合口漏、全覆膜自膨式金属支架、食管肿瘤等关键词在 Pubmed 和 ClinicalKey 数据库中进行了检索。对相关文献进行了复习,并纳入了文章。结果和结论食管吻合口瘘内支架置入术,对于瘘口的闭合和脓毒症的控制,都是一种有效的治疗方法。这种治疗方法的发病率和死亡率可能很高。