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- W2896445106 abstract "This chapter examines the etiology, diagnostic techniques, and treatment approaches of anastomotic complications after esophagectomy. An understanding of these much feared events may help mitigate the impact of the associated negative clinical sequelae. Anastomotic leak has a wide variation in presentation, from an incidental radiologic finding to a catastrophic septic event. Patients should be adequately resuscitated, and further management is dependent upon the location of the leak and clinical presentation. Mild cases may be observed or managed with local drainage. The most severe cases are conduit necrosis. In suspected cases, direct visualization of the conduit is necessary, and subsequent resection must be performed if the diagnosis is confirmed. Anastomotic leak is a frequent cause of anastomotic stricture; however, later presentation must raise suspicion for tumor recurrence. In benign cases, endoscopic dilation is often sufficient. Leaks are also a frequent cause of conduit airway fistulas. Such events are rare but are life threatening and must rapidly be identified. In such cases, a trial of conservative treatment may be pursued with subsequent endoscopic therapy and, ultimately, surgical resection if this is not successful." @default.
- W2896445106 created "2018-10-26" @default.
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- W2896445106 date "2019-01-01" @default.
- W2896445106 modified "2023-10-03" @default.
- W2896445106 title "Anastomotic Complications After Esophagectomy" @default.
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- W2896445106 doi "https://doi.org/10.1016/b978-0-323-40232-3.00043-1" @default.
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