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- 저자 : Jeremy TH Tan (검색결과 1 건)
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Bin Chet Toh,Jingli Chong,Baldwin PM Yeung,Chin Hong Lim,Eugene KW Lim,Weng Hoong Chan,Jeremy TH Tan 대한소화기내시경학회 2022 Clinical Endoscopy Vol.55 No.3
Background/Aims: Surgeons and endoscopists have started to use endoscopically inserted double pigtail stents (DPTs) in the managementof upper gastrointestinal (UGI) leaks, including UGI anastomotic leaks. We investigated our own experiences in this patient population. Methods: From March 2017 to June 2020, 12 patients had endoscopic internal drainage of a radiologically proven anastomotic leak afterUGI surgery in two tertiary UGI centers. The primary outcome measure was the time to removal of the DPTs after anastomotichealing. The secondary outcome measure was early oral feeding after DPT insertion. Results: Eight of the 12 patients (67%) required only one DPT, whereas four (33%) required two DPTs. The median duration of drainagewas 42 days. Two patients required surgery due to inadequate control of sepsis. Of the remaining 10 patients, nine did not require achange in DPT before anastomotic healing. Nine patients were allowed oral fluids within the 1st week and a soft diet in the 2nd week. One patient was allowed clear oral feeds on the 8th day after DPT insertion. Conclusions: Endoscopic internal drainage is becoming an established minimally invasive technique for controlling anastomotic leakafter UGI surgery. It allows for early oral nutritional feeding and minimizes discomfort from conventional external drainage.
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