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Hokkaido University Collection of Scholarly and Academic Papers >
Graduate School of Medicine / Faculty of Medicine >
Peer-reviewed Journal Articles, etc >
Intraluminal continuous decompression and drainage using a vacuum pump for controlling cervical anastomotic leakage after a three-field esophagectomy with a gastric pull-up
| Title: | Intraluminal continuous decompression and drainage using a vacuum pump for controlling cervical anastomotic leakage after a three-field esophagectomy with a gastric pull-up |
| Authors: | Shichinohe, Toshiaki Browse this author →KAKEN DB | | Ebihara, Yuma Browse this author →KAKEN DB | | Murakami, Soichi Browse this author | | Kurashima, Yo Browse this author →KAKEN DB | | Fukuda, Naoya Browse this author | | Poudel, Saseem Browse this author | | Miyazaki, Dai Browse this author | | Tsuchikawa, Takahiro Browse this author →KAKEN DB | | Hirano, Satoshi Browse this author →KAKEN DB |
| Keywords: | Anastomotic leakage | | Decompression | | Drainage | | Vacuum pump |
| Issue Date: | Apr-2016 |
| Publisher: | Springer |
| Journal Title: | Esophagus |
| Volume: | 13 |
| Issue: | 2 |
| Start Page: | 229 |
| End Page: | 233 |
| Publisher DOI: | 10.1007/s10388-015-0505-5 |
| Abstract: | Background: Anastomotic leakage is one of the major complications that can occur after an esophagectomy. We report on the advantages of a computer-controlled portable vacuum pump system, ThopazR, for intraluminal continuous decompression and drainage in the non-surgical management of cervical anastomotic leakage. Method: Continuous decompression with negative pressure of 20 cmH2O was set at the anastomotic leakage point by a naso-gastric tube or a trans-gastric decompression tube. The drainage effect was confirmed by swallowing contrast media under fluoroscopy. Results: Three successive cases with postoperative anastomotic leakage received this treatment. The treatments were successful without complication and the leakages were healed 7, 15, and 17days after the treatments respectively. Conclusion: The management of anastomotic leakage using the portable pump system was beneficial in bringing about a prompt healing with minimum intervention. To further demonstrate the advantage of this procedure over conventional treatments, a larger data set and clinical trials are required. |
| Rights: | The final publication is available at link.springer.com |
| Type: | article (author version) |
| URI: | http://hdl.handle.net/2115/64950 |
| Appears in Collections: | 医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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Submitter: 七戸 俊明
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