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Esophageal stents for less invasive treatment of mediastinitis

Publication at Faculty of Medicine in Pilsen |
2014

Abstract

Retrospective (2008–2012) analysis of a group of patients requiring surgical treatment. In total, 16 patients were treated by stenting.

All patients were treated with the stent being placed across the defect in the esophagus. Mediastinitis was accessed and drained with the aid of a thoracotomy or thoracolaparotomy (8 cases), or using a combination of a laparotomy/laparostomy and pleural drainage (5 cases).

The most basic interventions were either pleural or external cervical drainage (3 and 1 cases, respectively). Four patients died (mortality 25%).

The average period that the stent was left in situ was 53.7 days. The average period of hospitalization of those patients who survived was 53.4 days.