Langenbecks Arch Surg (2017) 402:1167–1173 DOI 10.1007/s00423-017-1626-1 ORIGINAL ARTICLE Significant decrease of mortality due to anastomotic leaks following esophageal resection: management makes the difference 1 2 1 1 2 Anja Schaible & Thorsten Brenner & Ulf Hinz & Thomas Schmidt & Markus Weigand & 3 1 1 Peter Sauer & Markus W. Büchler & Alexis Ulrich Received: 29 July 2017 /Accepted: 22 September 2017 /Published online: 3 October 2017 Springer-Verlag GmbH Germany 2017 Abstract decreased significantly to 6.5% (2/31 patients) (P < 0.001) Purpose Anastomotic leakage is the most frequent cause of in group B. postoperative mortality following esophageal surgery. Conclusions Our data clearly demonstrated that optimizing However, no gold standard for diagnosing and managing leak- the management of anastomotic leakage by making team de- age has been established. Continuous clinical judgment is ex- cisions can lead to a significant decrease in mortality. tremely important; therefore, to optimize the management of . . leakage, we established a special group for decision-making in Keywords Anastomotic leakage Esophageal resection cases of suspected leakage in the early postoperative period. Mortality Endoscopy Methods Between January 2010 and December 2016, 234 consecutive patients underwent elective esophageal resection with a thoracoabdominal incision. In 2014, we
Langenbeck's Archives of Surgery – Springer Journals
Published: Oct 3, 2017
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