Carcinoma of the oesophagus. Anastomotic leaks after manual sutures--incidence and treatment.

Abstract

Progress in the development of suture materials results in a lower rate of fistulas. Modern techniques for the diagnosis of leakage (contrast study, CT-scan) allow for an early diagnosis and adequate therapy: if possible conservative therapy with drainage of the abscess, adapted antibiotic therapy and parenteral and enteral nutrition are the best methods. In the case of necrosis of the transplant, reoperation permits enables extra time for reconstruction. All the technical possibilities of reconstruction must be known. It is necessary to apply prophylactic precautions to avoid leakage of the anastomosis on the oesophagus.

Cite this paper

@article{Baulieux1998CarcinomaOT, title={Carcinoma of the oesophagus. Anastomotic leaks after manual sutures--incidence and treatment.}, author={Jacques Baulieux and Mustapha Adham and Eric de la Roche and A Meziat-Burdin and Marc Poupart and Christian Ducerf}, journal={International surgery}, year={1998}, volume={83 4}, pages={277-9} }