当前位置： SCI文献检索 > DISEASES OF THE ESOPHAGUS期刊下所有文献 > Respiratory management and outcome of non-malignant tracheo-bronchial fistula following esophagectomy.

Respiratory management and outcome of non-malignant tracheo-bronchial fistula following esophagectomy.

Abstract：

:Tracheo-bronchial lesions with air leak are rare but a catastrophic complications of esophageal resections. We analyzed the management and outcome of 31 patients who developed a non-malignant lesion of the trachea or main stem bronchus after esophagectomy for esophageal cancer. All patients initially required endotracheal intubation to control respiratory distress. A modified respiratory therapy with a reduced tidal volume and high respiratory rate markedly decreased the air leakage from 2.8 to 1.1/min (P < 0.001). Early extubation was possible in 23 patients with a complete healing or decrease of the fistula size. Jet ventilation, endoluminal stenting of the fistula, bronchoscopic fibrin sealing of the fistula, and surgical closure of the fistula with a muscular pedicle flap were attempted with variable success in patients with otherwise not manageable air leaks. Ten of the 31 patients (33%) died during the postoperative course, in eight out of 10 patients, postoperative mortality resulted from an unhealed lesions at the bifurcation or in the left main stem bronchus. These data show that reduction of airway pressure and spontaneous breathing are the key to closure of the airway leak. The entire armamentarium of respiratory, bronchoscopic, and surgical techniques must be available for a successful management of these patients.

journal_name

Dis Esophagus

journal_title

Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

authors

Bartels HE,Stein HJ,Siewert JR

doi

10.1093/dote/11.2.125

subject

Has Abstract

pub_date

1998-04-01 00:00:00

pages

125-9

issue

2

eissn

1120-8694

issn

1442-2050

journal_volume

11

pub_type

临床试验,杂志文章

相关文献

DISEASES OF THE ESOPHAGUS文献大全
  • Coexistence of esophageal granular cell tumor and squamous cell carcinoma: a case report.

    abstract：:Granular cell tumors (GCTs) are relatively uncommon, usually benign and solitary neoplasms. Until now, about 200 cases of esophageal GCTs have been reported in the literature. We present a rare case of synchronous occurrence of esophageal GCT and moderately differentiated squamous cell carcinoma in a 40-year-old white...

    journal_title：Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

    pub_type： 杂志文章,评审

    doi：10.1046/j.1442-2050.2002.00232.x

    authors： Szumilo J,Dabrowski A,Skomra D,Chibowski D

    更新日期：2002-01-01 00:00:00

  • Predictive biomarkers for Barrett's esophagus: so near and yet so far.

    abstract：:Barrett's esophagus (BE) is the strongest risk factor for the development of esophageal adenocarcinoma. However, the risk of cancer progression is difficult to ascertain in individuals, as a significant number of patients with BE do not necessarily progress to esophageal adenocarcinoma. There are several issues with t...

    journal_title：Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

    pub_type： 杂志文章,评审

    doi：10.1111/dote.12015

    authors： Timmer MR,Sun G,Gorospe EC,Leggett CL,Lutzke L,Krishnadath KK,Wang KK

    更新日期：2013-08-01 00:00:00

  • Homozygosity in the ApoE 4 polymorphism is associated with dysphagic symptoms in older adults.

    abstract：:Apolipoprotein E (ApoE) is the most well-described genetic risk factor for Alzheimer's disease and nonpathological cognitive decline. While possession of the E2 allele may have protective properties, substantial research evidence suggests the E4 allele increases the risk of cognitive degeneration. As neurodegenerative...

    journal_title：Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

    pub_type： 杂志文章

    doi：10.1111/dote.12162

    authors： Mentz H,Horan M,Payton A,Ollier W,Pendleton N,Hamdy S

    更新日期：2015-01-01 00:00:00

  • Estrogen and progesterone receptors in esophageal carcinoma.

    abstract：:Information is sparse and contradictory in the literature regarding the role of estrogen receptor (ER) and progesterone receptor (PR) in esophageal carcinoma. This study was conducted over a period of 18 months from September 2004 with the primary aim of determining the PR, ER alpha (ERalpha) and ER beta (ERbeta) stat...

    journal_title：Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

    pub_type： 杂志文章

    doi：10.1111/j.1442-2050.2007.00767.x

    authors： Kalayarasan R,Ananthakrishnan N,Kate V,Basu D

    更新日期：2008-01-01 00:00:00

  • Diffuse esophageal leiomyomatosis.

    abstract：:Progressive dysphagia of unknown etiology may still provide a diagnostic challenge despite an increase in the number and quality of investigations available. We describe a 64-year-old man who presented with progressive dysphagia and weight loss. Following a number of investigations, a diagnosis of diffuse esophageal l...

    journal_title：Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

    pub_type： 杂志文章

    doi：10.1111/j.1442-2050.2010.01114.x

    authors： Crouch G,Devitt PG,Thompson SK

    更新日期：2011-04-01 00:00:00

  • Nitric oxide and endothelin-1 release after one-lung ventilation during thoracoabdominal esophagectomy.

    abstract：:One-lung ventilation (OLV) is applied during esophagectomy to improve exposure during the thoracic part of the operation. Collapse of lung tissue, shunting of pulmonary blood flow, and changes in alveolar oxygenation during and after OLV may possibly induce an ischemia-reperfusion response in the lung, which may affec...

    journal_title：Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

    pub_type： 杂志文章,随机对照试验

    doi：10.1111/j.1442-2050.2012.01388.x

    authors： Lund M,Ny L,Malmström RE,Lundberg JO,Öst Å,Björnstedt M,Lundell L,Tsai JA

    更新日期：2013-11-01 00:00:00

  • Laparoscopic transhiatal resection of epiphrenic diverticulum.

    abstract：:Our experience with videolaparoscopic operations for hiatus hernia and achalasia, which have almost replaced classical procedures, enabled us to use the same technique for other interventions in the distal third of the thoracic esophagus. Thus, we were able to treat epiphrenic diverticulum using a minimally invasive a...

    journal_title：Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

    pub_type： 杂志文章

    doi：10.1046/j.1442-2050.2002.00275.x

    authors： Neoral C,Aujeský R,Bohanes T,Klein J,Král V

    更新日期：2002-01-01 00:00:00

  • Programmed death-1 ligands and tumor infiltrating T lymphocytes in primary and lymph node metastasis of esophageal cancer patients.

    abstract：:Neoadjuvant chemotherapy (NAC) is administered to many patients with esophageal squamous cell carcinoma (ESCC) prior to surgery, but it is also true that some of these patients demonstrated no response to the therapy following surgery. In addition, the prognosis of advanced case such as ESCC patients with lymph node m...

    journal_title：Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

    pub_type： 杂志文章

    doi：10.1093/dote/doy063

    authors： Konno-Kumagai T,Fujishima F,Nakamura Y,Nakano T,Nagai T,Kamei T,Sasano H

    更新日期：2019-03-01 00:00:00

  • Liver metastases from esophageal carcinoma: is there a role for surgical resection?

    abstract：:Esophageal cancer recurrence rates after esophagectomy are high, and locally recurrent or distant metastatic disease has poor prognosis. Management is limited to palliative chemotherapy and symptomatic interventions. We report our experience of four patients who have undergone successful liver resection for metastases...

    journal_title：Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

    pub_type： 杂志文章

    doi：10.1111/dote.12233

    authors： Huddy JR,Thomas RL,Worthington TR,Karanjia ND

    更新日期：2015-07-01 00:00:00

  • Esophagectomy for failed endoscopic therapy in patients with high-grade dysplasia or intramucosal carcinoma.

    abstract：:Endoscopic therapy (ablation +/- endoscopic resection) for high-grade dysplasia and/or intramucosal carcinoma (IMC) of the esophagus has demonstrated promising results. However, there is a concern that a curable, local disease may progress to systemic disease with repeated endotherapy. We performed a retrospective rev...

    journal_title：Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

    pub_type： 杂志文章

    doi：10.1111/dote.12096

    authors： Hunt BM,Louie BE,Dunst CM,Lipham JC,Farivar AS,Sharata A,Aye RW

    更新日期：2014-05-01 00:00:00

  • Primary malignant melanoma of the esophagus: a study of clinical features, pathology, management and prognosis.

    abstract：:Primary malignant melanoma of the esophagus (PMME) is a rare disease that is characterized by aggressive invasion, early metastasis, and poor prognosis. Treatment protocols are not well-established. To understand this condition more precisely, we performed a retrospective review of eight cases of PMME diagnosed at the...

    journal_title：Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

    pub_type： 杂志文章

    doi：10.1111/j.1442-2050.2010.01111.x

    authors： Yu H,Huang XY,Li Y,Xie X,Zhou JL,Zhang LJ,Fu JH,Wang X

    更新日期：2011-02-01 00:00:00

  • Clinical benefits of a swallowing intervention for esophageal cancer patients after esophagectomy.

    abstract：:Dysphagia after esophagectomy is the main cause of a prolonged postoperative stay. The present study investigated the effects of a swallowing intervention led by a speech-language-hearing therapist (SLHT) on postoperative dysphagia. We enrolled 276 consecutive esophageal cancer patients who underwent esophagectomy and...

    journal_title：Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

    pub_type： 杂志文章

    doi：10.1093/dote/doaa094

    authors： Takatsu J,Higaki E,Hosoi T,Yoshida M,Yamamoto M,Abe T,Shimizu Y

    更新日期：2020-10-29 00:00:00

  • Differences in response of the proximal esophagus to wet swallows in patients of Chagas' disease and idiopathic achalasia.

    abstract：:Chagas' disease and idiopathic achalasia have similar esophageal manifestations such as absent or incomplete lower esophageal sphincter relaxation and aperistalsis in the esophageal body (alterations seen mainly in the distal esophageal body). Our aim in this paper was to study the response of the proximal esophageal ...

    journal_title：Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

    pub_type： 杂志文章

    doi：10.1111/j.1442-2050.2006.00601.x

    authors： Ramos RI,Varrica LM,Dantas RO

    更新日期：2006-01-01 00:00:00

  • Multimodal analgesia using intrathecal diamorphine, and paravertebral and rectus sheath catheters are as effective as thoracic epidural for analgesia post-open two-phase esophagectomy within an enhanced recovery program.

    abstract：:Thoracic epidural (TE) analgesia has been the standard of care for transthoracic esophagectomy patients since the 1990s. Multimodal anesthesia using intrathecal diamorphine, local anesthetic infusion catheters (LAC) into the paravertebral space and rectus sheaths and intravenous opioid postoperatively represent an alt...

    journal_title：Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

    pub_type： 杂志文章

    doi：10.1093/dote/doy006

    authors： Donohoe CL,Phillips AW,Flynn E,Donnison C,Taylor CL,Sinclair RCF,Saunders D,Immanuel A,Griffin SM

    更新日期：2018-06-01 00:00:00

  • Unsedated transnasal ultrathin esophagogastroduodenoscopy may provide better diagnostic performance in gastroesophageal reflux disease.

    abstract：:Transnasal ultrathin esophagogastroduodenoscopy (N-EGD) with less gagging reflexes under non-sedation is likely suitable for the diagnosis of gastroesophageal reflux disease (GERD), however, N-EGD might have drawbacks, including its low image resolution. Limited information is available regarding the diagnosability of...

    journal_title：Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

    pub_type： 杂志文章

    doi：10.1111/j.1442-2050.2010.01098.x

    authors： Mori A,Ohashi N,Yoshida A,Nozaki M,Tatebe H,Okuno M,Hoshihara Y,Hongo M

    更新日期：2011-02-01 00:00:00

  • Impedance characteristics of esophageal motor function in achalasia.

    abstract：:Detailed data on patterns of esophageal bolus transport in patients with achalasia are still lacking. To study these we applied the novel technique of multichannel intraluminal impedance measurements. Ten patients with achalasia were studied using a 16 channel system. Liquid and semisolid boluses of 10 mL were applied...

    journal_title：Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

    pub_type： 杂志文章

    doi：10.1111/j.1442-2050.2004.00372.x

    authors： Nguyen HN,Domingues GR,Winograd R,Lammert F,Silny J,Matern S

    更新日期：2004-01-01 00:00:00

  • Ablation of Barrett's epithelium: the promise and the problems.

    abstract：:The incidence of adenocarcinoma of the esophagus has increased dramatically over recent years. Because Barrett's epithelium is recognized as a risk factor for adenocarcinoma there is an interest in reversing this metaplasia. A number of endoscopic methods of destruction of esophageal columnar epithelium have been desc...

    journal_title：Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

    pub_type： 杂志文章,评审

    doi：10.1046/j.1442-2050.2002.00220.x

    authors： Urosevic P,Kiroff GK

    更新日期：2002-01-01 00:00:00

  • Endoscopic bougienage of benign anastomotic strictures in patients after esophageal resection: the effect of the extent of stricture on bougienage results.

    abstract：SUMMARY:The aim of our retrospective study was to determine the incidence of benign anastomotic strictures (BAS) in patients after esophageal resection and to examine the influence of the extent of BAS on the results of bougienage therapy. From January 2001 to July 2006, 79 patients at risk of BAS development were incl...

    journal_title：Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

    pub_type： 杂志文章

    doi：10.1111/j.1442-2050.2008.00819.x

    authors： Marjanovic G,Schrag HJ,Fischer E,Hopt UT,Fischer A

    更新日期：2008-01-01 00:00:00

  • Polymorphisms of XRCC1 gene and risk of gastric cardiac adenocarcinoma.

    abstract：:X-ray repair cross complementing 1 (XRCC1) protein plays an important role in base excision repair. Single nucleotide polymorphisms (SNPs) in XRCC1 gene may affect DNA repairing ability and genetic susceptibility to cancer. This study was designed to investigate the correlation of XRCC1 Arg194Trp Arg280His and Arg399G...

    journal_title：Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

    pub_type： 杂志文章

    doi：10.1111/j.1442-2050.2008.00912.x

    authors： Yan L,Yanan D,Donglan S,Na W,Rongmiao Z,Zhifeng C

    更新日期：2009-01-01 00:00:00

  • Use of the Montreal global definition as an assessment of quality of life in reflux disease.

    abstract：:According to the Montreal Consensus Group's classification, gastroesophageal reflux disease develops when the reflux of stomach contents causes troublesome symptoms and/or complications such as esophagitis. The characteristic gastroesophageal reflux disease symptoms included in this statement are retrosternal burning ...

    journal_title：Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

    pub_type： 杂志文章

    doi：10.1111/j.1442-2050.2011.01271.x

    authors： Sawaya RA,Macgill A,Parkman HP,Friedenberg FK

    更新日期：2012-08-01 00:00:00

  • Long-term weight development after esophagectomy for cancer-comparison between open Ivor-Lewis and minimally invasive surgical approaches.

    abstract：:Esophagectomy is an extensive procedure with severe postoperative effects. It can be assumed that the greater the trauma, the longer the nutritional recovery. This retrospective observational single-center cohort study compared weight development after esophagectomy with open and minimally invasive techniques. Three g...

    journal_title：Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

    pub_type： 杂志文章

    doi：10.1093/dote/doy075

    authors： Ericson J,Lundell L,Klevebro F,Kamiya S,Nilsson M,Rouvelas I

    更新日期：2019-04-01 00:00:00

  • Evolution of the surgical technique of minimally invasive Ivor-Lewis esophagectomy: description according to the IDEAL framework.

    abstract：:Totally minimally invasive Ivor-Lewis esophagectomy (Ivor Lewis TMIE) is a technically challenging procedure and is associated with a learning curve. Refinement of surgical technique is an important part of this learning curve. However, detailed descriptions of these refinements according to the idea, development, exp...

    journal_title：Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

    pub_type： 杂志文章

    doi：10.1093/dote/doy079

    authors： Stenstra MHBC,van Workum F,van den Wildenberg FJH,Polat F,Rosman C

    更新日期：2019-03-01 00:00:00

  • Evaluation of clinical significance of 18F-fluorodeoxyglucose positron emission tomography in superficial squamous cell carcinomas of the thoracic esophagus.

    abstract：:(18)F-fluorodeoxyglucose (FDG) positron emission tomography (PET) is used for pre-treatment staging and evaluation of response to pre-operative therapy in advanced thoracic esophageal cancers. To evaluate the clinical significance of PET diagnosis of superficial thoracic esophageal cancers, FDG-PET was conducted preop...

    journal_title：Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

    pub_type： 杂志文章

    doi：10.1111/j.1442-2050.2007.00743.x

    authors： Miyata H,Doki Y,Yasuda T,Yamasaki M,Higuchi I,Makari Y,Matsuyama J,Hirao T,Takiguchi S,Fujiwara Y,Monden M

    更新日期：2008-01-01 00:00:00

  • Colon interposition in the treatment of esophageal caustic strictures: 40 years of experience.

    abstract：:The objective of this article was to analyze 40 years of experience of colon interposition in the surgical treatment of caustic esophageal strictures from the standpoints of our long-term personal experience. Colon interposition has proved to be the most suitable type of reconstruction for esophageal corrosive strictu...

    journal_title：Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

    pub_type： 杂志文章

    doi：10.1111/j.1442-2050.2007.00694.x

    authors： Knezević JD,Radovanović NS,Simić AP,Kotarac MM,Skrobić OM,Konstantinović VD,Pesko PM

    更新日期：2007-01-01 00:00:00

  • Reduced toxicity with three-dimensional conformal radiotherapy or intensity-modulated radiotherapy compared with conventional two-dimensional radiotherapy for esophageal squamous cell carcinoma: a secondary analysis of data from four prospective clinical

    abstract：:We conducted a retrospective analysis to assess the toxicity and long-term survival of esophageal squamous cell carcinoma patients treated with three-dimensional conformal radiotherapy (3DCRT) or intensity-modulated radiotherapy (IMRT) versus conventional two-dimensional radiotherapy (2DRT). All data in the present st...

    journal_title：Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

    pub_type： 杂志文章

    doi：10.1111/dote.12435

    authors： Deng JY,Wang C,Shi XH,Jiang GL,Wang Y,Liu Y,Zhao KL

    更新日期：2016-11-01 00:00:00

  • Prognostic relevance of serial endoscopic ultrasound after chemoradiation in esophageal cancer.

    abstract：:The objective of this study is the feasibility of sequential endoscopic and endosonographic measurement of locoregional tumor load for the prediction of tumor recurrence in patients after neoadjuvant or definitive chemoradiotherapy, treated in curative intent for locally advanced esophageal carcinoma. In 67 patients w...

    journal_title：Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

    pub_type： 杂志文章

    doi：10.1093/dote/dox065

    authors： Bohle W,Kasper M,Zoller WG

    更新日期：2017-10-01 00:00:00

  • Morphology of the developing muscularis externa in the mouse esophagus.

    abstract：:Muscularis externa of mouse esophagus is composed of two skeletal muscle layers in the adult. But less attention is paid to the histogenesis of the muscularis externa of the esophagus, and controversies still exist about the developmental process and the spatio-temporal expression characteristics of muscle-specific pr...

    journal_title：Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

    pub_type： 杂志文章

    doi：10.1111/j.1442-2050.2011.01208.x

    authors： Cao XM,Yang YP,Li HR,Cui HL,Ya J

    更新日期：2012-01-01 00:00:00

  • Decision analysis supports the use of drain amylase-based enhanced recovery method after esophagectomy.

    abstract：:Postesophagectomy anastomotic leak is a common postsurgical complication. The current standard method of detecting leak is esophagram usually late in the postoperative period. Perianastomotic drain amylase level had shown promising results in early detection anastomosis leak. Previous studies have shown that postopera...

    journal_title：Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

    pub_type： 杂志文章

    doi：10.1093/dote/doy041

    authors： Jiang B,Ho VP,Ginsberg J,Fu SJ,Perry Y,Argote-Greene L,Linden PA,Towe CW

    更新日期：2018-10-01 00:00:00

  • Noncardiac chest pain: diagnostic evaluation.

    abstract：:Noncardiac chest pain (NCCP) is a common and challenging clinical problem. It is estimated that more than 70 million Americans (23% of the population) suffer from this condition yearly. Patients with NCCP represent a diagnostic dilemma. Their chest pain is often indistinguishable from cardiac pain leading to extensive...

    journal_title：Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

    pub_type： 杂志文章,评审

    doi：10.1111/j.1442-2050.2011.01225.x

    authors： Fass R,Achem SR

    更新日期：2012-02-01 00:00:00

  • Long esophagomyotomy for diffuse esophageal spasm and related disorders: an historical overview.

    abstract：:In summary, the role of long esophagomyotomy for patients with DES and related motor disorders remains controversial. The results are poorer than those following esophagomyotomy for achalasia, and long-term postoperative follow-up of these patients is essential because early good results may be misleading. Two methods...

    journal_title：Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

    pub_type： 历史文章,杂志文章

    doi：10.1093/dote/11.4.210

    authors： Ellis FH Jr

    更新日期：1998-10-01 00:00:00