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Intraluminal continuous decompression and drainage using a vacuum pump for controlling cervical anastomotic leakage after a three-field esophagectomy with a gastric pull-up

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Please use this identifier to cite or link to this item:http://hdl.handle.net/2115/64950

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)

Submitter: 七戸 俊明

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