Tratamiento endoscópico con argón plasma en fístula traqueoesofágica recurrente. Serie clínica y revisión de la literatura médica

Yankovic, Francisca; Castillo, Cecilia; Sáenz, Roque; Navarrete, Claudio

doi:10.1016/j.gastrohep.2009.06.012

Cited by 18 publications

(9 citation statements)

References 20 publications

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“…Because of its decontaminating properties, argon plasma (Ar), which is widely used as a coagulant in digestive surgery [ 73 ], has been proposed by certain authors [ 52 , 74 , 75 , 76 , 77 ] to improve early integration of Ti implants due to its decontaminating properties.…”

Section: Discussionmentioning

confidence: 99%

Bioactive Surfaces vs. Conventional Surfaces in Titanium Dental Implants: A Comparative Systematic Review

López-Valverde

Flores-Fraile

Ramı́rez

et al. 2020

JCM

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Animal studies and the scarce clinical trials available that have been conducted suggest that bioactive surfaces on dental implants could improve the osseointegration of such implants. The purpose of this systematic review was to compare the effectiveness of osseointegration of titanium (Ti) dental implants using bioactive surfaces with that of Ti implants using conventional surfaces such as sandblasted large-grit acid-etched (SLA) or similar surfaces. Applying the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement, the MEDLINE, PubMed Central and Web of Science databases were searched for scientific articles in April 2020. The keywords used were “dental implants”, “bioactive surfaces”, “biofunctionalized surfaces”, and “osseointegration”, according to the question: “Do bioactive dental implant surfaces have greater osseointegration capacity compared with conventional implant surfaces?” Risk of bias was assessed using the Cochrane Collaboration tool. 128 studies were identified, of which only 30 met the inclusion criteria: 3 clinical trials and 27 animal studies. The average STROBE (STrengthening the Reporting of OBservational studies in Epidemiology) and ARRIVE (Animal Research: Reporting of In Vivo Experiments) scores were 15.13 ± 2.08 and 17.7±1.4, respectively. Implant stability quotient (ISQ) was reported in 3 studies; removal torque test (RTT)—in 1 study; intraoral periapical X-ray and microcomputed tomography radiological evaluation (RE)—in 4 studies; shear force (SF)—in 1 study; bone-to-implant contact (BIC)—in 12 studies; and BIC and bone area (BA) jointly—in 5 studies. All animal studies reported better bone-to-implant contact surface for bioactive surfaces as compared to control implants with a statistical significance of p < 0.05. Regarding the bioactive surfaces investigated, the best results were yielded by the one where mechanical and chemical treatment methods of the Ti surfaces were combined. Hydroxyapatite (HA) and calcium–phosphate (Ca–Ph) were the most frequently used bioactive surfaces. According to the results of this systematic review, certain bioactive surfaces have a positive effect on osseointegration, although certain coating biomolecules seem to influence early peri-implant bone formation. Further and more in-depth research in this field is required to reduce the time needed for osseointegration of dental implants.

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Section: Discussionmentioning

confidence: 99%

Bioactive Surfaces vs. Conventional Surfaces in Titanium Dental Implants: A Comparative Systematic Review

López-Valverde

Flores-Fraile

Ramı́rez

et al. 2020

JCM

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“…In fact, there is much diversity of opinion, and controversy continues about which is the best approach [5][6][7][8][9][10][11][12][13][14]. Management options range from aggressive surgical intervention to conservative approaches.…”

Section: Discussionmentioning

confidence: 99%

“…Some studies used it as a primary therapy, but it often required multiple applications [26,27]. This modality is commonly used as an adjunct to endoscopic stenting or other techniques [28][29][30].…”

Section: Discussionmentioning

confidence: 99%

“…To ensure fistula closure, the injured esophageal conduit (most commonly gastric pull up) can be removed and a cervical esophagostomy can be created to divert all enteric contents, after which esophageal enteric continuity can be restored [4,5]. Less invasive treatments have been reported for smaller, less symptomatic EBF including stenting, fibrin glue, and endoscopic clipping [7][8][9][10][11]. However, the optimal endoscopic approach remains elusive.…”

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confidence: 99%

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Gastro-bronchial fistula closed by endoscopic fistula plug (with video)

et al. 2014

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Post-esophagectomy fistula is a morbid complication and the surgical treatments available are highly morbid and have variable success rates. Due to the development of new endoscopic technologies, the endotherapy has assumed new prominence for treatment of enteric fistula. This complex case illustrates feasibility of endoscopic fistula treatment using dual scope, biologic plug application which effectively controlled this patient's EBF symptoms.

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“…[3] Mild GBF is typically managed with less-invasive interventions, such as esophageal or tracheobronchial stenting, fibrin glue, and over-the-scope clipping. [4][5][6][7] Additionally, conservative management strategies have also been described and are employed when the patient is clinically stable and if the fistula is not associated with mediastinitis or other pulmonary complications. [8] However, there are no standard treatment strategies for this rare condition, [9] and airway management during anesthesia for surgery is both important and challenging.…”

Section: Introductionmentioning

confidence: 99%

Airway management during left-sided gastrobronchial fistula repair after esophagectomy for esophageal carcinoma

Wang¹,

Yuan²,

Wu³

2021

Medicine

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Rationale: Gastrobronchial fistula (GBF) is a rare but life-threatening complication of esophagectomy with gastric conduit reconstruction, and airway management during fistula repair is challenging. Here, we describe airway management in a patient undergoing left-sided GBF repair using video-assisted thoracoscopic surgery. Patient concerns: A 63-year-old man diagnosed with esophageal carcinoma underwent esophagectomy with reconstruction by gastric pull-up and tabularization of the gastric conduit. Subsequently, about 8 weeks later, the patient presented with repeated pneumonia and a 1-week history of cough with significant sputum, dysphagia, and repeated fever. Diagnosis: GBF, a rare postoperative complication, was located on the left main bronchus at 2 cm below the carina and was diagnosed based on findings from gastroscopy, flexible bronchoscopy, and thoracic computed tomography scan with contrast. Interventions: We performed left-sided one-lung ventilation (OLV) under total intravenous anesthesia instead of inhalational anesthetics. The left-sided OLV, with positive end-expiratory pressure (PEEP) and nasogastric tube decompression, generated positive pressure across the fistula. It prevented backflow into the left main bronchus. Total intravenous anesthesia preserved hypoxic pulmonary vasoconstriction and prevented adverse effects associated with inhalational anesthetics. A right-sided, double-lumen endotracheal tube was inserted after anesthesia induction, and surgical repair was performed through a right-sided video-assisted thoracoscopic surgery. Outcomes: Intraoperative hemodynamics remained relatively stable, except for brief tachycardia at 113 beats/min. Arterial blood gas analysis revealed pH 7.17 and PaO 2 89.1 mmHg upon 100% oxygenation, along with hypercapnia (PaCO 2 77.1 mmHg), indicating respiratory acidosis. During OLV, pulse oximetry remained higher than 92%. The defect in the left main bronchus was successfully sutured after dissecting the fistula between the left main bronchus and the gastric conduit, and subsequently, OLV resulted in ideal ventilation. Lessons: A left-sided GBF could lead to leakage from the OLV during surgery. Possible aspiration or alveolar hypoventilation due to this leakage is a major concern during airway management before surgical repair of the main bronchus.

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Tratamiento endoscópico con argón plasma en fístula traqueoesofágica recurrente. Serie clínica y revisión de la literatura médica

Cited by 18 publications

References 20 publications

Bioactive Surfaces vs. Conventional Surfaces in Titanium Dental Implants: A Comparative Systematic Review

Bioactive Surfaces vs. Conventional Surfaces in Titanium Dental Implants: A Comparative Systematic Review

Gastro-bronchial fistula closed by endoscopic fistula plug (with video)

Airway management during left-sided gastrobronchial fistula repair after esophagectomy for esophageal carcinoma

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