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Timing and Protocols of Endoscopic Follow-Up in Operated Patients After Esophageal Surgery

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Book cover Endoscopic Follow-up of Digestive Anastomosis

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Abstract

After esophagectomy, the surgical defect is reconstructed to form an esophageal conduit to maintain the continuity of digestive tract. The reconstruction requires the transposition of stomach (gastric pull-up), intestinal graft, or musculocutaneous graft to replace the esophagus. Despite continuous refinements over decades, this technique is still associated with high risk of graft-related complications such as necrosis, leakage, fistula, strictures, or impaction. Local recurrence of primary esophageal cancer and development of metachronous cancers in the remnant esophagus are constant risks for neoplastic patients undergoing esophagectomy. Failure to detect these complications during follow-up may lead to severe or even fatal outcomes. Therefore, a rigorous postoperative surveillance is always justified. Being a safe tool with versatile diagnostic and therapeutic utilities, endoscopy deserves a central role in the physician’s armamentarium in the postoperative management of esophageal reconstruction.

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Notes

  1. 1.

    The Clinicians that, over the years, performed the procedures on which this study is based are: A. Peracchia (surgeon), E. Ancona (surgeon), A. Ruol (surgeon), C. Castoro (surgeon), M. Cagol (surgeon), L. Corti (radiotherapist), V. Chiarion Sileni (oncologist), G. Battaglia (endoscopist).

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Author information

Authors and Affiliations

  1. High Technology Endoscopy, Veneto Institute of Oncology (IOV-IRCCS), Via Gattamelata 64, Padua, 35128, Italy

    Giorgio Battaglia, Stefano Realdon & Giorgio Diamantis

  2. Oncological Surgery Unit, Veneto Institute of Oncology (IOV-IRCCS), Via Gattamelata 64, Padua, 35128, Italy

    Matteo Cagol & Carlo Castoro

  3. Department of Surgical and Gastrointestinal Sciences, Clinica Chirurgica III, University of Padua, Via Giustiniani 2, Padua, 35128, Italy

    Alberto Ruol

Authors
  1. Giorgio Battaglia
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  2. Matteo Cagol
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  3. Stefano Realdon
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  4. Carlo Castoro
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  5. Giorgio Diamantis
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  6. Alberto Ruol
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Corresponding author

Correspondence to Giorgio Battaglia .

Editor information

Editors and Affiliations

  1. University of Naples Federico II, Napoli, Italy

    Giuseppe Galloro

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© 2014 Springer-Verlag Italia

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Battaglia, G., Cagol, M., Realdon, S., Castoro, C., Diamantis, G., Ruol, A. (2014). Timing and Protocols of Endoscopic Follow-Up in Operated Patients After Esophageal Surgery. In: Galloro, G. (eds) Endoscopic Follow-up of Digestive Anastomosis. Springer, Milano. https://doi.org/10.1007/978-88-470-5370-0_4

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  • DOI: https://doi.org/10.1007/978-88-470-5370-0_4

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  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-5369-4

  • Online ISBN: 978-88-470-5370-0

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