Self-expanding plastic stents for the treatment of post-operative esophago-jejuno XXXX leak. A case series study.

@entity1 @entity834 @entity545 @entity254 @entity1764 @entity292 @entity356
OBJECTIVE: @entity545 ( @entity545 ) are increasingly being used for treatment of postoperative esophageal leak. This complication occurs in 4-27% of @entity1 after radical gastrectomy, and has a high mortality rate up to 60%.The aim of this study is to evaluate the efficacy of @entity545 (Polyflex  ) for treatment of post-operative esophago-jejuno @entity254 leak after radical gastrectomy for @entity356 . MATERIAL AND METHODS: During one year period @entity1 who underwent a radical gastrectomy in our hospital for @entity356 and developed a postoperative @entity834 were prospectively included in the study after signing a consent form, and treated with @entity545 placement under endoscopic and fluoroscopic control for leak occlusion. RESULTS: Four @entity1 were included (3 @entity1 /1 @entity1 ). The mean interval between operation and @entity545 placement was 16 days (range: 4-34). @entity545 deployment was easily performed in all @entity1 with complete occlusion of esophageal lumen in three @entity1 . In the fourth @entity1 we needed to deploy a second coaxial stent to achieve a complete occlusion of the @entity292 . @entity545 migration did not happen in our series. One @entity1 had already developed a @entity1764 by the time we placed the @entity545 and he died 3 days later. Extraction of the @entity545 was easily performed 4-8 weeks after deployment. CONCLUSION: We achieved a complete healing of the anastomotic @entity292 after radical gastrectomy in 3 out of 4 @entity1 , without major complications related to @entity545 . Placement of @entity545 is an appealing minimally invasive alternative to surgical repair for @entity1 with postoperative @entity834 .
