Endoscopic Management for Post-Surgical Complications After Resection of Esophageal Cancer

Overview

Journal Cancers (Basel)

Publisher MDPI

Specialty Oncology

Date 2022 Feb 25

PMID 35205730

Authors

Dorte Wichmann

Stefano Fusco

Christoph R Werner

Sabrina Voesch

Benedikt Duckworth-Mothes

Ulrich Schweizer

Dietmar Stuker

Alfred Konigsrainer

Karolin Thiel

Markus Quante

Affiliations

Soon will be listed here.

Abstract

Background: Esophageal cancer (EC) is the sixth-leading cause of cancer-related deaths in the world. Esophagectomy is the most effective treatment for patients without invasion of adjacent organs or distant metastasis. Complications and relevant problems may occur in the early post-operative course or in a delayed fashion. Here, innovative endoscopic techniques for the treatment of postsurgical problems were developed during the past 20 years.

Methods: Endoscopic treatment strategies for the following postoperative complications are presented: anastomotic bleeding, anastomotic insufficiency, delayed gastric passage and anastomotic stenosis. Based on a literature review covering the last two decades, therapeutic procedures are presented and analyzed.

Results: Addressing the four complications mentioned, clipping, stenting, injection therapy, dilatation, and negative pressure therapy are successfully utilized as endoscopic treatment techniques today.

Conclusion: Endoscopic treatment plays a major role in both early-postoperative and long-term aftercare. During the past 20 years, essential therapeutic measures have been established. A continuous development of these techniques in the field of endoscopy can be expected.

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PMID: 35740645 PMC: 9220783. DOI: 10.3390/cancers14122982.

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