Treatment of esophageal anastomotic leak with self-expanding metal stent
Głuszek, S.ła.; Kot, M.; Nawacki, Łu.
Wiadomosci Lekarskie 66(3): 253-255
2013
ISSN/ISBN: 0043-5147 PMID: 24483033 Document Number: 665859
Esophageal anastomotic leak after resection surgery is very hard to treat and Has a high mortality rate. Surgical treatment is extremely difficult, burdened by complications of subsequent postoperative complications (inability to repair). The authors present a case of a patient who underwent a resection of upper stomach and lower esophagus due to adenocarcinoma of the esophagus- stomach junction (Siewert II). A digestive tract X-ray with water-soluble kontrast was performer after seven days- it show and anastomotic leak. However, the patient was hemodynamically stable. It enabled to implant a self-expanding metal stent (Ultraflex) to the place of leak. In this case the procedure was successful, and radiological examination on the 14th day confirmed closure of the leak. Implantation of a self-expanding metal prosthesis as a way to treat anastomotic leak is a therapeutic option worth recommendation.