Ischemic Conditioning of the Stomach in the Prevention of Esophagogastric Anastomotic Leakage After Esophagectomy

Aristotelis Kechagias; Peter S N van Rossum; Jelle P Ruurda; Richard van Hillegersberg

doi:10.1016/j.athoracsur.2015.10.034

Ischemic Conditioning of the Stomach in the Prevention of Esophagogastric Anastomotic Leakage After Esophagectomy

Aristotelis Kechagias
, Peter S N van Rossum
, Jelle P Ruurda
, Richard van Hillegersberg

Research output: Contribution to journal › Literature review › peer-review

Abstract

Esophagectomy with esophagogastric anastomosis is a major procedure, and its most feared complication is anastomotic leakage. Ischemic conditioning of the stomach is a method used with the aim of reducing the risk of leakage. It consists of partial gastric devascularization through embolization or laparoscopy followed by esophagectomy and anastomosis at a second stage, thus providing the time for the gastric conduit to adapt to the acute ischemia at the time of its formation. This review analyzes the information from all currently available experimental and clinical studies with the purpose of assessing the current role of the technique and to provide future recommendations.

Original language	English
Pages (from-to)	1614–1623
Journal	Annals of Thoracic Surgery
Volume	101
Issue number	4
DOIs	https://doi.org/10.1016/j.athoracsur.2015.10.034
Publication status	Published - Apr 2016

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10.1016/j.athoracsur.2015.10.034

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title = "Ischemic Conditioning of the Stomach in the Prevention of Esophagogastric Anastomotic Leakage After Esophagectomy",

abstract = "Esophagectomy with esophagogastric anastomosis is a major procedure, and its most feared complication is anastomotic leakage. Ischemic conditioning of the stomach is a method used with the aim of reducing the risk of leakage. It consists of partial gastric devascularization through embolization or laparoscopy followed by esophagectomy and anastomosis at a second stage, thus providing the time for the gastric conduit to adapt to the acute ischemia at the time of its formation. This review analyzes the information from all currently available experimental and clinical studies with the purpose of assessing the current role of the technique and to provide future recommendations.",

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T1 - Ischemic Conditioning of the Stomach in the Prevention of Esophagogastric Anastomotic Leakage After Esophagectomy

AU - Kechagias, Aristotelis

AU - van Rossum, Peter S N

AU - Ruurda, Jelle P

AU - van Hillegersberg, Richard

PY - 2016/4

Y1 - 2016/4

N2 - Esophagectomy with esophagogastric anastomosis is a major procedure, and its most feared complication is anastomotic leakage. Ischemic conditioning of the stomach is a method used with the aim of reducing the risk of leakage. It consists of partial gastric devascularization through embolization or laparoscopy followed by esophagectomy and anastomosis at a second stage, thus providing the time for the gastric conduit to adapt to the acute ischemia at the time of its formation. This review analyzes the information from all currently available experimental and clinical studies with the purpose of assessing the current role of the technique and to provide future recommendations.

AB - Esophagectomy with esophagogastric anastomosis is a major procedure, and its most feared complication is anastomotic leakage. Ischemic conditioning of the stomach is a method used with the aim of reducing the risk of leakage. It consists of partial gastric devascularization through embolization or laparoscopy followed by esophagectomy and anastomosis at a second stage, thus providing the time for the gastric conduit to adapt to the acute ischemia at the time of its formation. This review analyzes the information from all currently available experimental and clinical studies with the purpose of assessing the current role of the technique and to provide future recommendations.

U2 - 10.1016/j.athoracsur.2015.10.034

DO - 10.1016/j.athoracsur.2015.10.034

M3 - Literature review

C2 - 26857639

SN - 0003-4975

VL - 101

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EP - 1623

JO - Annals of Thoracic Surgery

JF - Annals of Thoracic Surgery

IS - 4

ER -

Ischemic Conditioning of the Stomach in the Prevention of Esophagogastric Anastomotic Leakage After Esophagectomy

Abstract

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