scholarly journals Micronutrient Deficiency Following Esophagectomy for Cancer of the Upper Gastrointestinal Tract

2017 ◽  
Vol 06 (04) ◽  
Author(s):  
Stephanie Wakefield ◽  
Mary Hickson ◽  
George B Hanna ◽  
Piers R Boshier
2020 ◽  
Author(s):  
Carolina Rubicondo ◽  
Andrea Lovece ◽  
Domenico Pinelli ◽  
Amedeo Indriolo ◽  
Alessandro Lucianetti ◽  
...  

Abstract Background: Treatment of esophageal perforations and postoperative anastomotic leaks of the upper gastrointestinal tract remains a challenge. Endoluminal vacuuma assisted closure (E-vac) therapy has positively contributed, in recent years, to the management of upper gastrointestinal tract perforations by using the same principle of vacuum assisted closure therapy of external wounds. The aim is to provide continuous wound drainage and to promote tissue granulation, decreasing the needed time to heal with a high rate of leakage closure.Report of cases: A series of two different cases with clinical and radiological diagnosis of esophageal fistulas, recorded during the 2018 to 2019 period at our institution, is presented. The first one is a case of anastomotic leak after esophagectomy for cancer complicated by pleuro-mediastinal abscess; while the second one is a leak of an esophageal suture, few days after resection of a bronchogenic cyst perforated into the esophageal lumen. Both cases were successfully treated with E-vac therapy.Conclusion: Our results confirm the usefulness of E-vac therapy in the management of anastomotic and non-anastomotic esophageal fistulas. Further research is needed to better define its indications, to compare it to traditional treatments and to evaluate its long-term efficacy.


2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Carolina Rubicondo ◽  
Andrea Lovece ◽  
Domenico Pinelli ◽  
Amedeo Indriolo ◽  
Alessandro Lucianetti ◽  
...  

Abstract Background Treatment of esophageal perforations and postoperative anastomotic leaks of the upper gastrointestinal tract remains a challenge. Endoluminal vacuum-assisted closure (E-Vac) therapy has positively contributed, in recent years, to the management of upper gastrointestinal tract perforations by using the same principle of vacuum-assisted closure therapy of external wounds. The aim is to provide continuous wound drainage and to promote tissue granulation, decreasing the needed time to heal with a high rate of leakage closure. Cases presentation A series of two different cases with clinical and radiological diagnosis of esophageal fistulas, recorded from 2018 to 2019 period at our institution, is presented. The first one is a case of anastomotic leak after esophagectomy for cancer complicated by pleuro-mediastinal abscess, while the second one is a leak of an esophageal suture, few days after resection of a bronchogenic cyst perforated into the esophageal lumen. Both cases were successfully treated with E-Vac therapy. Conclusion Our experience shows the usefulness of E-Vac therapy in the management of anastomotic and non-anastomotic esophageal fistulas. Further research is needed to better define its indications, to compare it to traditional treatments and to evaluate its long-term efficacy.


1957 ◽  
Vol 32 (6) ◽  
pp. 1013-1024 ◽  
Author(s):  
E. Clinton Texter ◽  
Hubbard W. Smith ◽  
Hugo C. Moeller ◽  
Clifford J. Barborka

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