BACKGROUND AND STUDY AIMS: The mortality rate for surgical revision of gastroesophageal @entity834 after resection for @entity5 approximates 60 %. The efficacy of endoscopically placed covered metallic stents for treatment of @entity354 was evaluated. @entity1 AND METHODS: Between June 1996 and June 2002 we treated 21 @entity1 with proven @entity354 ; 18 had @entity834 and three @entity1 had perforation for different reasons. The extent of the leaks ranged from one-quarter of the intestinal circumference to its complete dehiscence. The average time from surgery to detection of leakage was 6.1 days (range 3 - 15 days). Mortality, healing rate, length of hospital stay, and complications were assessed. RESULTS: The insertion of stents was performed endoscopically under radiological guidance without any complication in all @entity1 . In 9.5 % (2/21) of @entity1 complete sealing of the leak was not achieved. The mortality associated with @entity834 was 23.8 % (5/21). In 80.1 % (17/21) @entity1 complete healing of the leakage was achieved. The average hospital stay was 67 days (range 14 - 158 days). Of 23 stents, 13 (56.5 %) were removed, and three @entity1 developed @entity850 after removal. CONCLUSION: The treatment of @entity354 with covered stents appears to reduce mortality and the complication rate associated with major leakage. Therefore this technique seems to be a reasonable alternative in the treatment of clinically relevant @entity834 .

Therapy of XXXX by means of covered self-expanding metallic stents after esophagogastrectomy.

@entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity834 :: ('MESH:D057868', 'Disease') :: ['anastomotic leakage'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cancer'] @entity354 :: ('MESH:D005764', 'Disease') :: ['gastroesophageal leakage'] @entity850 :: ('MESH:D003251', 'Disease') :: ['stenosis']
@entity834 :: (MESH:D057868,Disease) :: ['anastomotic leaks']
