Managing esophageal fistulae by endoscopic transluminal drainage in esophageal cancer patients with superior mediastinal sepsis after esophagectomy.
- Author:
Yu-Zhen ZHENG
1
,
2
;
Shu-Qin DAI
;
Hong-Bo SHAN
;
Xiao-Yan GAO
;
Lan-Jun ZHANG
;
Xun CAO
;
Jian-Fei ZHU
;
Jun-Ye WANG
Author Information
- Publication Type:Journal Article
- MeSH: Aged; Carcinoma, Squamous Cell; surgery; Drainage; Endoscopy; Esophageal Fistula; etiology; therapy; Esophageal Neoplasms; surgery; Esophagectomy; adverse effects; Humans; Lymph Node Excision; Male; Mediastinum; Middle Aged; Sepsis; etiology; therapy
- From:Chinese Journal of Cancer 2013;32(8):469-473
- CountryChina
- Language:English
- Abstract: The management of postoperative leaks into the mediastinum after esophagectomy remains a challenge. We describe our clinical management of this complication through endoscopic transluminal drainage. Between 2008 and 2011, 4 patients with esophageal squamous cell carcinoma (ESCC) who underwent McKeown-type esophagectomy with two-field lymphadenectomy experienced complicated anastomotic fistulae in the presence of superior mediastinal sepsis. All 4 patients underwent endoscopic transluminal drainage, and all survived. The mean healing period was 50 days (range, 31 to 58 days), the mean stay in the intensive care unit was 7.3 days (range, 1 to 18 days), and the mean hospital stay was 64.5 days (range, 49 to 70 days). Endoscopically guided transluminal drainage should be considered for ESCC patients with superior mediastinal fistulae after esophagectomy.
