ArticleDiseases (Basel, Switzerland)2022
Anastomotic Leakage after Oesophagectomy: Upper Endoscopy or Computed Tomography First? Time Is of the Essence.
Article in Diseases (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Performance of a consensus-based algorithm for diagnosing anastomotic leak after minimally invasive esophagectomy for esophageal cancer.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2023Trial
- Diagnostic Value of Postsurgical Endoscopy.Visceral medicine · 2025Review
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Authors and funding
3 authors.
Funding
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Abstract
introductionAnastomotic leakage (AL) following oesophageal surgery is the most feared complication. Therefore, it is of utmost importance to diagnose it in a timely and safe manner. The diagnostic algorithm, however, differs across institutions world-wide, with no clear consensus or guidelines. The aim of this study was to analyse whether computed tomography (CT) or upper endoscopy (UE) should be performed first. MATERIAL AND
methodsRecords of 185 patients undergoing oesophageal surgery for underlying malignancy were analysed. All patients that developed an AL were further analysed. Results of CT and UE were compared to calculate sensitivity.
resultsOverall, 33 out of 185 patients were diagnosed with an AL after oesophagectomy. All patients received a CT and a UE. The CT identified 23 out of 33 patients correctly. Sensitivity was 69.7% for CT, compared to 100% for UE.
conclusionIf patients are clinically suspicious regarding development of an AL after oesophagectomy, UE should be performed prior to CT as it has a sensitivity of 100%. In addition, treatment by means of endoluminal vacuum therapy (EVT) or self-expanding-metal stents (SEMS) can be initiated promptly.
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