The Journal of Thoracic and Cardiovascular Surgery
Volume 133, Issue 2 , Pages 333-338 , February 2007

Postoperative esophageal leak management with the Polyflex esophageal stent

Read at the Eighty-sixth Annual Meeting of The American Association for Thoracic Surgery, Philadelphia, Pa, April 29–May 3, 2006.

  • Richard K. Freeman, MD

      Affiliations

    • Department of Thoracic and Cardiovascular Surgery, St Vincent Hospital, Indianapolis, Ind
    • Corresponding Author InformationAddress for reprints: Richard K. Freeman, MD, 8433 Harcourt Rd, Indianapolis, IN 46260.
    • ,
  • Anthony J. Ascioti, MD

      Affiliations

    • Department of Thoracic and Cardiovascular Surgery, St Vincent Hospital, Indianapolis, Ind
    • ,
  • Thomas C. Wozniak, MD

      Affiliations

    • Department of Thoracic and Cardiovascular Surgery, Methodist Hospital, Indianapolis, Ind.

Received 25 April 2006 ,Revised 26 September 2006 ,Accepted 9 October 2006.

References 

  1. Lang H, Piso P, Stukenborg C, Raab R, Jahne J. Management and results of proximal anastomotic leaks in a series of 1114 total gastrectomies for gastric carcinoma. Eur J Surg Oncol. 2000;26:168–171
  2. Langer FB, Wenzel E, Prager G, Salat A, Miholic J, Mang T, et al. Management of postoperative esophageal leaks with a Polyflex self-expanding covered plastic stent. Ann Thorac Surg. 2005;79:398–404
  3. Symonds CJ. The treatment of malignant stricture of the oesophagus by tubage or permanent catheterism. BMJ. 1887;1:870–881
  4. Mousseau M, Forestier J, Barbin J. Place de l’intubation a demeure dans le traitement palliative du cancer de l’oesophage. Arch Fr Mal Appl Dig. 1956;45:208–215
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  7. Girardet RE, Ransdell HT, Wheat MW. Palliative intubation in the management of esophageal carcinoma. Ann Thorac Surg. 1974;18:417–425
  8. Moores DWO, Ilves R. Treatment of esophageal obstruction with covered, self-expanding esophageal wall stents. Ann Thorac Surg. 1996;62:963–969
  9. Song HY, Do YS, Han YM. Covered, expandable esophageal metallic stent tubes: experiences in 119 patients. Radiology. 1994;193:689–693
  10. Gelbmann CM, Ratiu NL, Rath HC, Rogler G, Lock G, Schölmerich J, et al. Use of self-expandable plastic stents for the treatment of esophageal perforations and symptomatic anastomotic leaks. Endoscopy. 2004;36:695–699
  11. Hunerbein M, Stroszynski C, Moesta KT, Schlag PM. Treatment of thoracic anastomotic leaks after esophagectomy with self-expanding plastic stents. Ann Surg. 2004;240:8801–8807
  12. Schubert D, Scheidbach H, Kuhn R, Wex C, Weiss G, Eder F, et al. Endoscopic treatment of thoracic esophageal anastomotic leaks by using silicone-covered, self-expanding polyester stents. Gastrointest Endosc. 2005;61:897–900
  13. Decker P, Lippler J, Decker D, Hirner A. Use of the Polyflex stent in the palliative therapy of esophageal carcinoma: results in 14 cases and review of the literature. Surg Endosc. 2001;15:14444–14447

PII: S0022-5223(06)01851-4

doi: 10.1016/j.jtcvs.2006.10.008

The Journal of Thoracic and Cardiovascular Surgery
Volume 133, Issue 2 , Pages 333-338 , February 2007

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