Conservative treatment of anastomosis leakage after esophageal resection by metallic stenting

Abstract

In a 50-years old man with carcinoma of the cardia extending to the distal esophagus total gastrectomy and resection of the esophagus was performed. The duodenal stump was closed and the continuity of the digestive tube was renewed by an esophagojejunoanastomosis sec Roux.

On the loth postoperative day leakage of the anastomosis was proved by contrast X-ray examination. The leakage was successfully treated by insertion of a self- expanding covered metallic stent ELLA (20x100 mm).

Keywords

• Endoscopic treatment
• Esophageal resection
• Leakage of the anastomosis
• Self-expanding covered metallic stent