Abstract | BACKGROUND: METHODS: Between July 2002 and March 2013, 13 patients treated with SEMS and 14 patients treated with NSET for anastomotic leaks after total gastrectomy were enrolled onto the study. Enrolled patients received 16 SEMS placement sessions and 21 NSET sessions. RESULTS: No significant differences in baseline characteristics or clinical characteristics related to leakage were detected in patients with SEMS compared to NSET. The successful sealing rate at the first attempt by SEMS was significantly better than that of NSET (80.0 vs. 28.6 %, P = 0.036), whereas the successful sealing rate after multiple endoscopic treatments was not statistically different (80.0 vs. 64.3 %, P = 0.653). The main reason for reintervention with SEMS was complications and with NSET was nonseal (P = 0.004). Clinical outcomes including length of hospital stay, endoscopic treatment-related mortality, and all-cause mortality were not significantly different between the 2 groups. CONCLUSIONS: In terms of efficacy by single effort, SEMS was superior to other methods for treating anastomotic leaks after total gastrectomy. However, complications with SEMS should be considered when choosing an endoscopic treatment method.
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Authors | Choong Nam Shim, Hyoung-Il Kim, Woo Jin Hyung, Sung Hoon Noh, Mi Kyung Song, Dae Ryong Kang, Jun Chul Park, Hyuk Lee, Sung Kwan Shin, Yong Chan Lee, Sang Kil Lee |
Journal | Surgical endoscopy
(Surg Endosc)
Vol. 28
Issue 3
Pg. 833-40
(Mar 2014)
ISSN: 1432-2218 [Electronic] Germany |
PMID | 24114516
(Publication Type: Journal Article)
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Topics |
- Adenocarcinoma
(mortality, surgery)
- Adult
- Aged
- Aged, 80 and over
- Anastomosis, Surgical
(adverse effects)
- Anastomotic Leak
(mortality, surgery)
- Endoscopy, Gastrointestinal
(methods)
- Female
- Follow-Up Studies
- Gastrectomy
(adverse effects)
- Humans
- Male
- Middle Aged
- Prosthesis Design
- Reoperation
- Republic of Korea
(epidemiology)
- Retrospective Studies
- Stents
- Stomach Neoplasms
(mortality, surgery)
- Survival Rate
(trends)
- Treatment Outcome
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