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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.3
- 수록면
- 37 - 47 (11page)
- DOI
- https://doi.org/10.5230/jgc.2018.18.e2
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초록· 키워드
오류제보하기
Purpose: The endoscopic management of a fully covered self-expandable metal stent (SEMS) has been suggested for the primary treatment of patients with anastomotic leaks after total gastrectomy. Embedded stents due to tissue ingrowth and migration are the main obstacles in endoscopic stent management.
Materials and Methods: The effectiveness and safety of endoscopic management were evaluated for anastomotic leaks when using a benign fully covered SEMS with an anchoring thread and thick silicone covering the membrane to prevent stent embedding and migration. We retrospectively reviewed the data of 14 consecutive patients with gastric cancer and anastomotic leaks after total gastrectomy treated from January 2009 to December 2016.
Results: The technical success rate of endoscopic stent replacement was 100%, and the rate of complete leaks closure was 85.7% (n=12). The mean size of leaks was 13.1 mm (range, 3?30 mm). The time interval from operation to stent replacement was 10.7 days (range, 3?35 days) and the interval from stent replacement to extraction was 32.3 days (range, 18?49 days). The complication rate was 14.1%, and included a single jejunal ulcer and delayed stricture at the site of leakage. No embedded stent or migration occurred. Two patients died due to progression of pneumonia and septic shock 2 weeks after stent replacement.
Conclusions: A benign fully covered SEMS with an anchoring thread and thick membrane is an effective and safe stent in patients with anastomotic leaks after total gastrectomy. The novelty of this stent is that it provides complete prevention of stent migration and embedding, compared with conventional fully covered SEMS.
목차
등록된 정보가 없습니다.
참고문헌 (16)
참고문헌 신청
Griffin SM / 2001 / Diagnosis and management of a mediastinal leak following radical oesophagectomy / Br J Surg 88:1346~1351
Pross M / 2000 / Endoscopic treatment of clinically symptomatic leaks of thoracic esophageal anastomoses / Gastrointest Endosc 51:73~76
Alanezi K / 2004 / Mortality secondary to esophageal anastomotic leak / Ann Thorac Cardiovasc Surg 10:71~75
DaVee T / 2016 / Stent-instent technique for removal of embedded partially covered self-expanding metal stents / Surg Endosc 30:2332~2341
Langer FB / 2010 / Solving the problem of difficult stent removal due to tissue ingrowth in partially uncovered esophageal self-expanding metal stents / Ann Thorac Surg 89:1691~1692
Pross M / 2000 / Endoscopic treatment of clinically symptomatic leaks of thoracic esophageal anastomoses / Gastrointest Endosc 51:73~76
Alanezi K / 2004 / Mortality secondary to esophageal anastomotic leak / Ann Thorac Cardiovasc Surg 10:71~75
DaVee T / 2016 / Stent-instent technique for removal of embedded partially covered self-expanding metal stents / Surg Endosc 30:2332~2341
Langer FB / 2010 / Solving the problem of difficult stent removal due to tissue ingrowth in partially uncovered esophageal self-expanding metal stents / Ann Thorac Surg 89:1691~1692
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