Article
Gastroenterology & Hepatology
Matias E. Czerwonko, Farhood Farjah, Brant K. Oelschlager
Summary: The routine use of LapTHE for DE and GEJ cancers, along with the inclusion of six operative principles, results in a low rate of anastomotic complications compared to national benchmarks. The median number of lymph nodes procured was 19, and negative margins were achieved in all cases. Major complication rate was 24%, 90-day mortality was 2.0%, and reoperation rate was 5.4%.
JOURNAL OF GASTROINTESTINAL SURGERY
(2023)
Article
Surgery
Francesco Vito Mandarino, Alberto Barchi, Lorenzo Leone, Lorella Fanti, Francesco Azzolini, Edi Viale, Dario Esposito, Noemi Salmeri, Francesco Puccetti, Lavinia Barbieri, Andrea Cossu, Elio Treppiedi, Ugo Elmore, Riccardo Rosati, Silvio Danese
Summary: Treatment of anastomotic leaks after Ivor-Lewis esophagectomy remains challenging. This study compares intracavitary endoscopic vacuum therapy (EVT) with self-expandable metal stent (SEMS) for the treatment of leaks < 30 mm, as there is limited data on this topic.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Gastroenterology & Hepatology
Ryan T. Morse, Tyler J. Mouw, Matthew Moreno, Jace T. Erwin, Ying Cao, Peter DiPasco, Mazin Al-Kasspooles, Andrew Hoover
Summary: This study compared patients who received radiotherapy at an academic medical center versus community medical centers and found that esophageal cancer patients who received radiotherapy at a community medical center had a higher risk of anastomotic leaks after surgery.
JOURNAL OF GASTROINTESTINAL SURGERY
(2023)
Article
Oncology
Sander Ubels, Eric Matthee, Moniek Verstegen, Bastiaan Klarenbeek, Stefan Bouwense, Mark I. van Berge Henegouwen, Freek Daams, Jan Willem T. Dekker, Marc J. van Det, Stijn van Esser, Ewen A. Griffiths, Jan Willem Haveman, Grard Nieuwenhuijzen, Peter D. Siersema, Bas Wijnhoven, Gerjon Hannink, Frans van Workum, Camiel Rosman, Joos Heisterkamp, Fatih Polat, Jeroen Schouten, Pritam Singh
Summary: This study aimed to assess the differences in failure to rescue (FTR) after anastomotic leak (AL) between different centers. The results showed that high-volume centers had lower FTR, which could be explained by lower leak severity, lower secondary ICU readmission rate, and higher availability of therapeutic modalities.
Article
Cardiac & Cardiovascular Systems
Haoyao Jiang, Rong Hua, Yifeng Sun, Xufeng Guo, Zhichao Liu, Yuchen Su, Bin Li, Yang Yang, Hong Zhang, Zhigang Li
Summary: This study found that male sex, older age, lower preoperative albumin, and a 5-cm-wide gastric tube are risk factors for anastomotic leakage, while the grade of leakage is significantly associated with the development of stricture. These factors could be valuable in improving perioperative strategies to prevent anastomotic complications.
ANNALS OF THORACIC SURGERY
(2021)
Article
Surgery
Ewen A. Griffiths
Summary: This study is an international cohort study investigating the rates and management of anastomotic leak and conduit necrosis after esophagectomy. The results showed that the severity of AL and CN is closely related to patient outcomes, and reintervention can be successful, indicating that surgeons should try alternative management strategies.
Article
Medicine, General & Internal
Keito Nakagawa, Saburo Matsubara, Kentaro Suda, Takeshi Otsuka, Masashi Oka, Sumiko Nagoshi
Summary: The intraductal placement of dumbbell-shaped FCSEMS (D-SEMS) for post-cholecystectomy bile leaks is a safe and effective treatment option, even in refractory cases.
JOURNAL OF CLINICAL MEDICINE
(2023)
Review
Oncology
Alberto Aiolfi, Ewen A. A. Griffiths, Andrea Sozzi, Michele Manara, Gianluca Bonitta, Luigi Bonavina, Davide Bona
Summary: Anastomotic leak after esophagectomy is a serious complication with potential negative impact on long-term survival. This study found that patients who experienced anastomotic leak had a higher mortality risk during the first 2 years of follow-up.
ANNALS OF SURGICAL ONCOLOGY
(2023)
Article
Gastroenterology & Hepatology
Hansol Kang, Kfir Ben-David, George A. Sarosi, Ryan M. Thomas
Summary: This study evaluated the utilization and timing of radiographic testing for anastomotic leaks (AL) in patients after esophagectomy. The results showed that routine imaging may have limitations in detecting asymptomatic ALs post-esophagectomy, and symptomatic ALs often manifest in a delayed manner.
JOURNAL OF GASTROINTESTINAL SURGERY
(2022)
Article
Medicine, General & Internal
Jin Huang, Lei Tian, Bin Wang
Summary: This study evaluated the relationship between serum prealbumin levels and anastomotic leak (AL) after esophagectomy, and explored the value of serum prealbumin as an early predictor of AL. The results showed that postoperative serum prealbumin level was significantly associated with AL and could help predict the occurrence of AL early.
Article
Surgery
Paul Rat, Guillaume Piessen, Marguerite Vanderbeken, Alexandre Chebaro, Olivier Facy, Patrick Rat, Cyril Boisson, Pablo Ortega-Deballon
Summary: C-reactive protein (CRP) can be used as an early diagnostic tool for anastomotic leak after esophagectomy, helping to identify low-risk patients for inclusion in an enhanced recovery program.
LANGENBECKS ARCHIVES OF SURGERY
(2022)
Article
Gastroenterology & Hepatology
Joonseok Lee, Jae Hyun Jeon, Seung Hwan Yoon, Beatrice Chia-Hui Shih, Woohyun Jung, Yoohwa Hwang, Sukki Cho, Kwhanmien Kim, Sanghoon Jheon
Summary: This study compared the clinical outcomes of endoscopic vacuum therapy (EVT) and conventional treatment (CT) for managing post-esophagectomy anastomotic leakage. The results showed that EVT had better outcomes, including shorter healing time, higher clinical success rate, and fewer complications, particularly in patients with thoracic leakage. However, further studies are needed to evaluate the effectiveness of EVT in patients who undergo cervical esophagogastrostomy.
JOURNAL OF GASTROINTESTINAL SURGERY
(2023)
Article
Respiratory System
Daniel Scheese, Yahya Alwatari, Salem Rustom, Gene He, Carlos A. Puig, Walker A. Julliard, Rachit D. Shah
Summary: This study assessed the rate and predictors of anastomotic leaks after esophagectomy and compared the outcomes of chest leaks versus neck leaks. The results showed that both types of leaks were associated with higher morbidity and mortality. Diabetes and operative time were identified as independent predictors for both types of leaks, while steroid use, hypertension, and advanced disease stage predicted chest leaks. Chest leaks were also associated with a greater likelihood of needing intervention, but contrary to conventional wisdom, were not associated with higher morbidity or mortality.
JOURNAL OF THORACIC DISEASE
(2023)
Article
Cardiac & Cardiovascular Systems
Qifan Yin, Shaohui Zhou, Yongbin Song, Xuejiao Xun, Nana Liu, Lijun Liu
Summary: This study retrospectively assessed 875 patients who underwent esophagectomy and esophagogastric anastomotic procedures, of which 43 (4.9%) developed intrathoracic anastomotic leaks postoperatively. The patients were divided into two groups, one receiving conventional treatments and the other receiving new treatments, showing that the new method significantly reduced the duration of chest tube placement, length of leak treatment, and postoperative hospital stay, with no significant difference in mortality rate.
JOURNAL OF CARDIOTHORACIC SURGERY
(2021)
Article
Gastroenterology & Hepatology
Noor J. Sissingh, Boudewijn A. de Vries, Akin Inderson, Bart van Hoek, Frans van der Heide, Jeanin E. van Hooft
Summary: This study compared the efficacy and safety of intraductal fully covered metal stents (ID-FCSEMSs) with multiple plastic stents (MPSs) for the treatment of biliary anastomotic strictures (ASs) after liver transplantation. The results showed that ID-FCSEMSs had similar stricture resolution and recurrence rates as MPSs, but with a reduced number of procedures needed. However, ID-FCSEMSs had a higher risk of stent migration and post-ERCP fever.
GASTROINTESTINAL ENDOSCOPY
(2023)
Article
Cardiac & Cardiovascular Systems
Soh Hosoba, Toshiaki Ito, Makoto Mori, Riku Kato, Koh Kajiyama, Shogo Maeda, Yuji Nakai, Yoshihiro Morishita
Summary: This study describes the approach and perioperative outcomes of totally endoscopic isolated and concomitant surgical aortic valve replacement (AVR) using various valve types. The results demonstrate that endoscopic AVR can safely address concomitant valve diseases.
ANNALS OF THORACIC SURGERY
(2024)
