ArticleThe Korean journal of thoracic and cardiovascular surgery2016
Role of Barium Swallow in Diagnosing Clinically Significant Anastomotic Leak following Esophagectomy.
Article in The Korean journal of thoracic and cardiovascular surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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7 citing papers in PubMed, 16 citations in OpenAlex.
- Value of Serum C-Reactive Protein (CRP) Level in Early Detection of Anastomotic Leakage following Salvage Esophagectomy after Definitive Chemoradiation for Esophageal Squamous Cell Carcinoma.South Asian journal of cancer · 2025Article
- The use of grape juice in the detection of esophageal leaks.Journal of thoracic disease · 2021Article
- Direct and indirect CT imaging features of esophago-airway fistula in adults.Journal of thoracic disease · 2020Article
- Early detection of complications: anastomotic leakage.Journal of thoracic disease · 2019Review
- Airway Compromise due to Retropharyngeal Emphysema-A Rare Complication of an Extravasated Peripherally Inserted Central Venous Catheter.Case reports in anesthesiology · 2019Article
- Logistic regression analysis of the risk factors of anastomotic fistula after radical resection of esophageal-cardiac cancer.Thoracic cancer · 2017Article
- C-reactive protein for the early prediction of anastomotic leak after esophagectomy in both neoadjuvant and non-neoadjuvant therapy case: a propensity score matching analysis.Journal of thoracic disease · 2017Article
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6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundBarium swallow is performed following esophagectomy to evaluate the anastomosis for detection of leaks and to assess the emptying of the gastric conduit. The aim of this study was to evaluate the reliability of the barium swallow study in diagnosing anastomotic leaks following esophagectomy.
methodsPatients who underwent esophagectomy from January 2000 to December 2013 at our institution were investigated. Barium swallow was routinely done between days 5-7 to detect a leak. These results were compared to clinically determined leaks (defined by neck wound infection requiring jejunal feeds and or parenteral nutrition) during the postoperative period. The sensitivity and specificity of barium swallow in diagnosing clinically significant anastomotic leaks was determined.
resultsA total of 395 esophagectomies were performed (mean age, 62.2 years). The indications for the esophagectomy were as follows: malignancy (n=320), high-grade dysplasia (n=14), perforation (n=27), benign stricture (n=7), achalasia (n=16), and other (n=11). A variety of techniques were used including transhiatal (n=351), McKeown (n=35), and Ivor Lewis (n=9) esophagectomies. Operative mortality was 2.8% (n=11). Three hundred and sixty-eight patients (93%) underwent barium swallow study after esophagectomy. Clinically significant anastomotic leak was identified in 36 patients (9.8%). Barium swallow was able to detect only 13/36 clinically significant leaks. The sensitivity of the swallow in diagnosing a leak was 36% and specificity was 97%. The positive and negative predictive values of barium swallow study in detecting leaks were 59% and 93%, respectively.
conclusionBarium swallow is an insensitive but specific test for detecting leaks at the cervical anastomotic site after esophagectomy.
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