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Ann Thorac Surg 2008;85:354-356. doi:10.1016/j.athoracsur.2007.06.044
© 2008 The Society of Thoracic Surgeons

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Christian Porubsky
Udo Anegg
Sabine Gabor
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How To Do It

Self-Expandable Covered Metal Tracheal Type Stent for Sealing Cervical Anastomotic Leak After Esophagectomy and Gastric Pull-Up: Pitfalls and Possibilities

Joerg Lindenmann, MD*, Veronika Matzi, MD, Christian Porubsky, MD, Udo Anegg, MD, Oliver Sankin, MD, Sabine Gabor, MD, Nicole Neuboeck, MD, Alfred Maier, MD, Freyja Maria Smolle-Juettner, MD

Division of Thoracic and Hyperbaric Surgery, Department of Surgery, Medical University Graz, Graz, Austria

Accepted for publication June 15, 2007.

* Address correspondence to Dr Lindenmann, Department of Surgery, Division of Thoracic and Hyperbaric Surgery, Medical University Graz, Auenbruggerplatz 29, Graz, 8036, Austria (Email: jo.lindenmann{at}meduni-graz.at).

From January 2003 to June 2006, 6 patients with leakage of the cervical esophagogastrostomy after esophagectomy and gastric pull-up underwent endoscopic stenting using the self-expandable covered tracheal type device. Anastomotic healing was satisfactory. Stent extraction was performed after an average interval of 91 days. Initial stent migration occurred in 2 patients and post-extraction stenosis developed in 3 patients. Insertion of a self-expandable covered metal tracheal stent represents a safe approach resulting in immediate closure and subsequent healing of cervical anastomotic leakage.







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