Conservative management of esophageal leaks by transluminal endoscopic drainage of the mediastinum or pleural space

M. Infante, M. Valente, S. Andreani, C. Catanese, M. Dal Fante, P. Pizzetti, G. Giudice, M. Basilico, P. Spinelli, G. Ravasi

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Background. The management of postoperative leaks into the mediastinum or pleural cavities after esophageal surgery yields unsatisfactory results. A recently described method, drainage of the mediastinum or pleural cavity through suture line defects, has been used in our department with eight patients. Methods. A suction tube was advanced over an endoscopically placed guide wire into the abscess from inside the esophagus, and gentle aspiration was used to remove saliva and secretions. Intravenous antibiotics and total parenteral nutrition were also given. Results. The sepsis was rapidly controlled, and the abscess cavity progressively collapsed in all cases. Seven patients recovered and were discharged 34 to 61 days after operation; one died of concomitant complications. Conclusions. This method seems promising for the management of intrathoracic esophageal leaks.

Original languageEnglish
Pages (from-to)46-50
Number of pages5
JournalSurgery
Volume119
Issue number1
DOIs
Publication statusPublished - 1996

Fingerprint

Mediastinum
Pleural Cavity
Drainage
Abscess
Total Parenteral Nutrition
Suction
Saliva
Sutures
Esophagus
Sepsis
Anti-Bacterial Agents
Conservative Treatment

ASJC Scopus subject areas

  • Surgery

Cite this

Infante, M., Valente, M., Andreani, S., Catanese, C., Dal Fante, M., Pizzetti, P., ... Ravasi, G. (1996). Conservative management of esophageal leaks by transluminal endoscopic drainage of the mediastinum or pleural space. Surgery, 119(1), 46-50. https://doi.org/10.1016/S0039-6060(96)80212-1

Conservative management of esophageal leaks by transluminal endoscopic drainage of the mediastinum or pleural space. / Infante, M.; Valente, M.; Andreani, S.; Catanese, C.; Dal Fante, M.; Pizzetti, P.; Giudice, G.; Basilico, M.; Spinelli, P.; Ravasi, G.

In: Surgery, Vol. 119, No. 1, 1996, p. 46-50.

Research output: Contribution to journalArticle

Infante, M, Valente, M, Andreani, S, Catanese, C, Dal Fante, M, Pizzetti, P, Giudice, G, Basilico, M, Spinelli, P & Ravasi, G 1996, 'Conservative management of esophageal leaks by transluminal endoscopic drainage of the mediastinum or pleural space', Surgery, vol. 119, no. 1, pp. 46-50. https://doi.org/10.1016/S0039-6060(96)80212-1
Infante, M. ; Valente, M. ; Andreani, S. ; Catanese, C. ; Dal Fante, M. ; Pizzetti, P. ; Giudice, G. ; Basilico, M. ; Spinelli, P. ; Ravasi, G. / Conservative management of esophageal leaks by transluminal endoscopic drainage of the mediastinum or pleural space. In: Surgery. 1996 ; Vol. 119, No. 1. pp. 46-50.
@article{46c57456bfe744e38b0e2b786f219d85,
title = "Conservative management of esophageal leaks by transluminal endoscopic drainage of the mediastinum or pleural space",
abstract = "Background. The management of postoperative leaks into the mediastinum or pleural cavities after esophageal surgery yields unsatisfactory results. A recently described method, drainage of the mediastinum or pleural cavity through suture line defects, has been used in our department with eight patients. Methods. A suction tube was advanced over an endoscopically placed guide wire into the abscess from inside the esophagus, and gentle aspiration was used to remove saliva and secretions. Intravenous antibiotics and total parenteral nutrition were also given. Results. The sepsis was rapidly controlled, and the abscess cavity progressively collapsed in all cases. Seven patients recovered and were discharged 34 to 61 days after operation; one died of concomitant complications. Conclusions. This method seems promising for the management of intrathoracic esophageal leaks.",
author = "M. Infante and M. Valente and S. Andreani and C. Catanese and {Dal Fante}, M. and P. Pizzetti and G. Giudice and M. Basilico and P. Spinelli and G. Ravasi",
year = "1996",
doi = "10.1016/S0039-6060(96)80212-1",
language = "English",
volume = "119",
pages = "46--50",
journal = "Surgery",
issn = "0039-6060",
publisher = "Mosby Inc.",
number = "1",

}

TY - JOUR

T1 - Conservative management of esophageal leaks by transluminal endoscopic drainage of the mediastinum or pleural space

AU - Infante, M.

AU - Valente, M.

AU - Andreani, S.

AU - Catanese, C.

AU - Dal Fante, M.

AU - Pizzetti, P.

AU - Giudice, G.

AU - Basilico, M.

AU - Spinelli, P.

AU - Ravasi, G.

PY - 1996

Y1 - 1996

N2 - Background. The management of postoperative leaks into the mediastinum or pleural cavities after esophageal surgery yields unsatisfactory results. A recently described method, drainage of the mediastinum or pleural cavity through suture line defects, has been used in our department with eight patients. Methods. A suction tube was advanced over an endoscopically placed guide wire into the abscess from inside the esophagus, and gentle aspiration was used to remove saliva and secretions. Intravenous antibiotics and total parenteral nutrition were also given. Results. The sepsis was rapidly controlled, and the abscess cavity progressively collapsed in all cases. Seven patients recovered and were discharged 34 to 61 days after operation; one died of concomitant complications. Conclusions. This method seems promising for the management of intrathoracic esophageal leaks.

AB - Background. The management of postoperative leaks into the mediastinum or pleural cavities after esophageal surgery yields unsatisfactory results. A recently described method, drainage of the mediastinum or pleural cavity through suture line defects, has been used in our department with eight patients. Methods. A suction tube was advanced over an endoscopically placed guide wire into the abscess from inside the esophagus, and gentle aspiration was used to remove saliva and secretions. Intravenous antibiotics and total parenteral nutrition were also given. Results. The sepsis was rapidly controlled, and the abscess cavity progressively collapsed in all cases. Seven patients recovered and were discharged 34 to 61 days after operation; one died of concomitant complications. Conclusions. This method seems promising for the management of intrathoracic esophageal leaks.

UR - http://www.scopus.com/inward/record.url?scp=0030030362&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030030362&partnerID=8YFLogxK

U2 - 10.1016/S0039-6060(96)80212-1

DO - 10.1016/S0039-6060(96)80212-1

M3 - Article

C2 - 8560385

AN - SCOPUS:0030030362

VL - 119

SP - 46

EP - 50

JO - Surgery

JF - Surgery

SN - 0039-6060

IS - 1

ER -