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Stents for Esophageal Anastomotic Leak

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Difficult Decisions in Thoracic Surgery

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

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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.

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Author information

Authors and Affiliations

  1. Division of Thoracic Surgery, Departments of Thoracic Surgery and General Surgery, Houston Methodist Hospital, Texas, Weill Cornell Medical College, 6550 Fannin Street, Smith Tower, Suite 1661, Houston, TX, 77030, USA

    Shanda H. Blackmon MD, MPH

  2. Research Medical Library, The University of Texas MD Anderson Cancer Center, Houston, TX, USA

    Laurissa Gann MSLS

Authors
  1. Shanda H. Blackmon MD, MPH
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  2. Laurissa Gann MSLS
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Correspondence to Shanda H. Blackmon MD, MPH .

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Editors and Affiliations

  1. Surgery, University of Chicago, Chicago, Illinois, USA

    Mark K. Ferguson

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© 2014 Springer-Verlag London

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Blackmon, S.H., Gann, L. (2014). Stents for Esophageal Anastomotic Leak. In: Ferguson, M. (eds) Difficult Decisions in Thoracic Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach, vol 1. Springer, London. https://doi.org/10.1007/978-1-4471-6404-3_33

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  • DOI: https://doi.org/10.1007/978-1-4471-6404-3_33

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-6403-6

  • Online ISBN: 978-1-4471-6404-3

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