ArticleJournal of cardiothoracic surgery2022
Vacuum sealing drainage combined with naso-intestinal and gastric decompression tubes for the treatment of esophagogastrostomy neck fistula.
Article in Journal of cardiothoracic surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed, 6 citations in OpenAlex.
- Vacuum sealing drainage technique combined with carbon nanomaterial dressings applied in the treatment of skin wounds.Postepy dermatologii i alergologii · 2024Article
- Surgical therapy and outcome of descending necrotizing mediastinitis in Chinese: a single-center series.Frontiers in medicine · 2023Article
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7 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo evaluate the clinical results of the vacuum sealing drainage (VSD) combined with a naso-intestinal nutritional tube (NIT) and a gastric decompression tube (GDT) for the treatment of esophagogastrostomy neck fistula (ENF).
methodsFrom January 2018 to October 2020, twenty patients (13 men and 7 women, ages 46-72) with ENF secondary to esophagogastrostomy were treated with VSD combined with NIT and GDT. Technical and clinical success rates, the incidence of early/late complications, the time of fistula closure (TFC) and therapy-related indicators were analyzed. The Karnofsky score and Eastern Cooperative Oncology Group (ECOG) score were compared before and after triple treatment.
resultsTechnical and clinical success rates were 100% and 85%, respectively. Early complications occurred in 5/20 (25%) patients, and late complications occurred in 8/20 (40%) patients. The median TFC was 18 days (range 10-23). All therapy-related indicators were normalized posttreatment. The Karnofsky score and ECOG score after treatment were significantly different compared with pretreatment scores (p < 0.001).
conclusionVSD combined with NIT and GDT is a safe and effective strategy for ENF, while severe strictures warrant further research.
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