Surgical treatment of a rare complication after endoscopic stent placement for anastomotic leakage after esophageal resection

• 作者: Annick B van Nunen Henricus J Belgers Marjan Klinkert Mechteld C de Jong Meindert N Sosef
• 来源期刊: 世界外科手术杂志
• 学科: 医学
• 关键词: ESOPHAGEAL cancer ESOPHAGEAL obstruction RENDEZVOUS procedure ANTEROGRADE DILATATION Combined anterograde-retrograde ENDOSCOPIC DILATATION
• 年，卷（期）: sjwksszz_2017,（1）
• 页码范围: 1-5
• 页数: 5页
• 分类号: R

摘要

The best approach to achieve cure in esophageal cancer is a combination of chemo-radiation and surgery.However,complications occur in half of patients.The current report,reports a rare but severe complication:Complete obstruction of the esophagus,induced by preoperative chemo-radiation therapy.Normally,strictures are treated by repeated dilatations,however,in case of complete obstruction,the perforation rate of standard blind anterograde wire access and dilation is severely increased.In order to minimize the risk of perforations,the rendezvous technique was introduced.This technique involves an anterograde approach in combination with a retrograde approach in order to open and dilatate the esophagus.While technical success rates between 83%and 100%have been reported in literature,data on clinical outcomes are scarcer.The limited amount of studies available claim that success was achieved in almost half of patients.The patient in our case currently has an oral diet without restrictions and rates his quality of life with a VAS-score ten out of ten.