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

Shichinohe, Toshiaki; Ebihara, Yuma; Murakami, Soichi; Kurashima, Yo; Fukuda, Naoya; Poudel, Saseem; Miyazaki, Dai; Tsuchikawa, Takahiro; Hirano, Satoshi

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

Shichinohe, Toshiaki; Ebihara, Yuma; Murakami, Soichi et al.

Esophagus, 2016, 13(2), 229-233

Permalink : https://hdl.handle.net/2115/64950

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アクセス権	open access
URI	https://hdl.handle.net/2115/64950
タイトル	Intraluminal continuous decompression and drainage using a vacuum pump for controlling cervical anastomotic leakage after a three-field esophagectomy with a gastric pull-up
著者	Shichinohe, Toshiaki ; Ebihara, Yuma ; Murakami, Soichi ; Kurashima, Yo ; Fukuda, Naoya ; Poudel, Saseem ; Miyazaki, Dai ; Tsuchikawa, Takahiro ; Hirano, Satoshi
e-Rad_Researcher 70374353 著者名 Shichinohe, Toshiaki
e-Rad_Researcher 50632981 著者名 Ebihara, Yuma
著者名 Murakami, Soichi
e-Rad_Researcher 40374350 著者名 Kurashima, Yo
著者名 Fukuda, Naoya
著者名 Poudel, Saseem
著者名 Miyazaki, Dai
e-Rad_Researcher 50507572 著者名 Tsuchikawa, Takahiro
e-Rad_Researcher 50322813 著者名 Hirano, Satoshi
言語	英語
キーワード	Anastomotic leakage
	Decompression
	Drainage
	Vacuum pump
発行日	2016-04
出版者	Springer
収録物名	Esophagus
巻(号)	13(2)
ページ	229-233
抄録	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.
資源タイプ	学術雑誌論文
出版タイプ	Accepted Manuscript
権利情報	The final publication is available at link.springer.com
PISSN	1612-9059
関連情報 (isVersionOf)	出版社版DOI https://doi.org/10.1007/s10388-015-0505-5