Retrograde tube drainage for esophageal anastomotic leaks and perforation

Tomita, Masaki; Matsuzaki, Yasunori; Shimizu, Tetsuya; Hara, Masanori; Ayabe, Takanori; Onitsuka, Toshio

doi:10.1111/j.1442-2050.2007.00680.x

Cited by 4 publications

(2 citation statements)

References 12 publications

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“…There are few reports in the literature describing similar maneuvers. Notably, Tomita et al [12] describe the successful use of this method in the treatment of three patients with anastomotic leaks after esophageal resection or perforation, inserting a drainage tube in the esophagus through the perforation or the leak in order to create a controllable fistula. Similar principles are present in an article by Gauderer et al [13] where they describe transanastomotic drainage tubes inserted distally for the treatment of esophageal fistula in children with esophageal atresia.…”

Section: Discussionmentioning

confidence: 97%

Gastroesophageal Junction Leak with Serious Sepsis after Gastric Bypass: Successful Treatment with Endoscopy-Assisted Intraluminal Esophageal Drainage and Self-expandable Covered Metal Stent

et al. 2009

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We present a case of gastroesophageal junction leak after gastric bypass with serious sepsis and hemodynamic instability. Minimally invasive treatment was performed in two stages: initial sepsis control by lavage and endoscopy-assisted laparoscopic placement of an intraluminal esophageal drainage tube through the leak orifice; this was followed by definitive leak treatment with a self-expandable covered metal stent after achieving hemodynamic stability. Patient evolution was satisfactory without the need for open surgery.

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Section: Discussionmentioning

confidence: 97%

Gastroesophageal Junction Leak with Serious Sepsis after Gastric Bypass: Successful Treatment with Endoscopy-Assisted Intraluminal Esophageal Drainage and Self-expandable Covered Metal Stent

et al. 2009

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“…Elevated WBC count has been shown to be associated with increased risks of the lung (19) , gastric (22) , and colorectal (23) cancers. leukocytosis is associated with thrombocytosis which is negative prognostic indicator in patients with cancer (50)(51) .Thrombocytosis is associated with a poor cancer prognosis, suggesting a potential role for platelets in the pathogenesis of the disease (28) .…”

Section: Discussionmentioning

confidence: 99%

Assessment of Some Hematological parameters in Iraqi Women with Different Breast Cancer Stages

Ali

Ali²,

Mohsen³

2020

IJPS

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Breast cancer (BC) is the most commonly diagnosed cancer in women. The metabolism of iron is closely regulated by hepcidin which exerts its action by interacting with a ferroportin. The aim of the present study was to assess the alterations in the levels of some serum biomarkers that have a role in iron homeostasis (hepcidin and ferroportin) in addition to hematological parameters (hemoglobin, leukocyte and platelets count) in different stages of BC. This study included 66 women with BC. The patients were categorized as follows : group 1 includes :22 patients with stage I disease ,group 2 includes: 22 patients with stage II disease ,and group 3 include: 22 patients with stage III disease .Group 4 includes :22 apparently healthy women as control. Data analysis revealed a significant elevation of serum hepcidin levels of patients groups 1, 2, and 3 (437.2±26.4, 501.4±31.8 and 558.5±21.3 pg/ml respectively) ,vs (179.4±19.8 pg/ml) of control, with steady elevations from stage I to III . Furthermore, serum ferroportin levels were significantly lowered in groups 1 and 3 compared to control (0.589±0.107 and 0.733±0.1 vs 1.37±0.28 ng/ml respectively).While blood hemoglobin level of group 3 were lower (11.96±0.18 vs 12.7±0.13g/dl ) compared with controls . Blood leukocyte count of patients (all groups) (7.39±0.28 ,8.93±0.48,9.86±0.52 (^103/µl) respectively) were markedly increased compared to controls (6.06±0.23), while mean platelet count for patients in group 2&3 were significantly increased compared to controls (313.9±19.3,309.2±25.3 vs 233.3±9.1 respectively). In conclusion, hepcidin, ferroportin and hematological markers including hemoglobin, WBC count and platelets count are altered in women with BC compared to healthy control. The changes occur mostly in accordance with disease stages.

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Treatment of anastomotic leaks after esophagectomy with endoscopic hemoclips

Tekinbaş

Erol

Akdoğan

et al. 2009

The Journal of Thoracic and Cardiovascular Surgery

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appendage. The baby was supported for 8 days and was successfully weaned off ECLS, extubated, and transferred to a regional hospital for convalescence.From [2002][2003][2004][2005] 32 Norwood stage I procedures with RV-PA shunts were performed at our institution. Early postoperative and 2-year mortality were 6% (2/32) and 19% (6/32), respectively. Two patients required cardiopulmonary resuscitation postoperatively, and 1 (3%) required ECLS. DISCUSSIONThis perfusion strategy for the modified Norwood stage I procedure allows the surgeon to perform the aortic arch repair by using low-flow cerebral perfusion with a brief period of circulatory arrest. It minimizes trauma to the innominate artery and prevents inadvertent decannulation by keeping the cannula out of the surgical field.Leaving a short remnant of PTFE graft beyond the clips at the end of the procedure offers an easy cannulation site for rescue ECLS. It provides safe and rapid access for arterial perfusion and minimizes bleeding associated with cannulation of the reconstructed aorta.Successful resuscitation of a neonate from cardiac arrest after the Norwood stage I procedure with ECLS requires rapid cannulation that can be achieved by using the described technique.

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Retrograde tube drainage for esophageal anastomotic leaks and perforation

Cited by 4 publications

References 12 publications

Gastroesophageal Junction Leak with Serious Sepsis after Gastric Bypass: Successful Treatment with Endoscopy-Assisted Intraluminal Esophageal Drainage and Self-expandable Covered Metal Stent

Gastroesophageal Junction Leak with Serious Sepsis after Gastric Bypass: Successful Treatment with Endoscopy-Assisted Intraluminal Esophageal Drainage and Self-expandable Covered Metal Stent

Assessment of Some Hematological parameters in Iraqi Women with Different Breast Cancer Stages

Treatment of anastomotic leaks after esophagectomy with endoscopic hemoclips

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