ArticleTherapeutics and clinical risk management2018
Calcification score versus arterial stenosis grading: comparison of two CT-based methods for risk assessment of anastomotic leakage after esophagectomy and gastric pull-up.
Article in Therapeutics and clinical risk management, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Prognostic value of abdominal aortic calcification in patients with esophageal cancer undergoing neoadjuvant therapy and esophagectomy.Abdominal radiology (New York) · 2026Article
- Neural network assessment of aortic, iliac, renal, and mesenteric artery calcification in CTA: Normalized scoring framework and comparison to threshold-based method.Acta radiologica open · 2026Article
- [Tailored surgery in the treatment of gastroesophageal cancer].Chirurgie (Heidelberg, Germany) · 2024Review
- Indocyanine green fluorescence in robot-assisted minimally invasive esophagectomy with intrathoracic anastomosis: a prospective study.Updates in surgery · 2023Article
- Review
- The ISCON-trial protocol: laparoscopic ischemic conditioning prior to esophagectomy in patients with esophageal cancer and arterial calcifications.BMC cancer · 2022Article
- McKeown esophagectomy with concomitant median arcuate ligament release in a case of esophageal cancer with celiac artery stenosis.Surgical case reports · 2022Article
- Characteristics of Computed Tomography Images for Patients with Acute Liver Injury Caused by Sepsis under Deep Learning Algorithm.Contrast media & molecular imaging · 2022Article
- Strategies to prevent anastomotic leakage after esophagectomy and gastric conduit reconstruction.Langenbeck's archives of surgery · 2020Review
- A new aortoiliac calcification scoring system to predict grade C anastomotic leak following rectal cancer surgery.Techniques in coloproctology · 2020Article
- Vascular calcification does not predict anastomotic leak or conduit necrosis following oesophagectomy.World journal of gastrointestinal surgery · 2019Article
- Carotid artery calcification score and its association with cognitive impairment.Clinical interventions in aging · 2019Article
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Authors and funding
9 authors.
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Abstract
purposeAnastomotic leakage is a major surgical complication following esophagectomy and gastric pull-up. Specific risk factors such as celiac trunk (TC) stenosis and high calcification score of the aorta have been identified, but no data are available on their relative prognostic values. This retrospective study aimed to compare and evaluate calcification score versus stenosis quantification with regards to prognostic impact on anastomotic leakage. PATIENTS AND
methodsPreoperative contrast-enhanced computed tomography scans of 164 consecutive patients with primary esophageal cancer were evaluated by two radiologists to apply a calcification score (0-3 scale) assessing the aorta, the celiac axis and the right and left postceliac arteries. Concurrently, the presence and degree of stenosis of TC and superior mesenteric artery were recorded for stenosis quantification.
resultsAnastomotic leakage was noted in 14/164 patients and 12/14 showed stenosis of TC (n=11). The presence of TC stenosis was found to have a significant impact on anastomotic healing (
conclusionMeasurement of TC stenosis in preoperative contrast-enhanced computed tomography scans proved to be more reliable than calcification scores in predicting anastomotic leakage and should, therefore, be used in the risk assessment of patients undergoing esophagectomy and gastric pull-up.
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