Stents for Esophageal Anastomotic Leak

Chapter
Part of the Difficult Decisions in Surgery: An Evidence-Based Approach book series (DDSURGERY, volume 1)

Abstract

The appropriate therapy for managing esophageal anastomotic leaks is not clearly established. For uncontained leaks, no trials exist demonstrating superiority of esophageal stenting over what is considered to be the gold standard of surgical intervention (surgical repair with a vascularized, pedicled muscle flap and drainage). Esophageal stenting should be reserved to clinical trials, as it remains investigative in nature. Patients who are offered this intervention should be warned of its off-label application and the potential complications associated with it.

Keywords

Anastomotic leak Esophagus Stent Esophagectomy Complications 

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Copyright information

© Springer-Verlag London 2014

Authors and Affiliations

  1. 1.Division of Thoracic Surgery, Departments of Thoracic Surgery and General SurgeryHouston Methodist Hospital, Texas, Weill Cornell Medical CollegeHoustonUSA
  2. 2.Research Medical LibraryThe University of Texas MD Anderson Cancer CenterHoustonUSA

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