Effective management of intrathoracic anastomotic leak with covered self-expandable metal stents. Report on three cases

Stefano Profili, Claudio F. Feo, Maria Laura Cossu, Antonio M. Scanu, Fabrizio Scognamillo, Francesco Meloni, Mariano Scaglione, Giovanni B. Meloni

Research output: Contribution to journalArticle

Abstract

Intrathoracic anastomotic leakage is one of the major complications of esophageal surgery that can lead to high mortality rate. Depending on the clinical presentation, therapeutic options include surgical reintervention and conservative management with or without external drainage or stenting. In this paper, we report a series of three patients, two men and one woman, mean age of 55.6 years (range 34-68 years), having intrathoracic anastomotic leak after esophagogastrectomy treated by insertion of four covered self-expandable metal stents performed exclusively under fluoroscopic view. Complete resolution of the leakage was obtained in all patients. Despite the limited number of patients, conservative management of intrathoracic anastomotic leaks with covered self-expandable metal stents performed under fluoroscopic guidance has proved to be rapid, safe, and effective in all cases of this series.

Original languageEnglish
Pages (from-to)57-60
Number of pages4
JournalEmergency Radiology
Volume15
Issue number1
DOIs
Publication statusPublished - Jan 2008

Keywords

  • Anastomotic leak
  • Esophagogastrectomy
  • Interventional procedures
  • Stents

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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    Profili, S., Feo, C. F., Cossu, M. L., Scanu, A. M., Scognamillo, F., Meloni, F., Scaglione, M., & Meloni, G. B. (2008). Effective management of intrathoracic anastomotic leak with covered self-expandable metal stents. Report on three cases. Emergency Radiology, 15(1), 57-60. https://doi.org/10.1007/s10140-007-0630-0