Diagnosis, assessment, and management of surgical complications following esophagectomy

Peter P Grimminger; Lucas Goense; Ines Gockel; Damien Bergeat; Nicolas Bertheuil; Servarayan M Chandramohan; Ke-Neng Chen; Seung-Hon Chon; Collet Denis; Khean-Lee Goh; Caroline Gronnier; Jun-Feng Liu; Bernard Meunier; Phillippe Nafteux; Enrique D Pirchi; Marc Schiesser; René Thieme; Aaron Wu; Peter C Wu; Navtej Buttar; Andrew C Chang

doi:10.1111/nyas.13920

Diagnosis, assessment, and management of surgical complications following esophagectomy

Ann N Y Acad Sci. 2018 Dec;1434(1):254-273. doi: 10.1111/nyas.13920. Epub 2018 Jul 8.

Authors

Peter P Grimminger¹, Lucas Goense², Ines Gockel³, Damien Bergeat⁴, Nicolas Bertheuil⁵, Servarayan M Chandramohan⁶, Ke-Neng Chen⁷, Seung-Hon Chon⁸, Collet Denis⁹, Khean-Lee Goh¹⁰, Caroline Gronnier⁹, Jun-Feng Liu¹¹, Bernard Meunier⁴, Phillippe Nafteux¹², Enrique D Pirchi¹³, Marc Schiesser¹⁴, René Thieme³, Aaron Wu¹⁵, Peter C Wu¹⁵, Navtej Buttar¹⁶, Andrew C Chang¹⁷

Affiliations

¹ Department of General, Visceral and Transplant Surgery, Johannes Gutenberg University, Mainz, Germany.
² Department of Surgery, University Medical Center Utrecht, Utrecht, the Netherlands.
³ Department of Visceral, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig, Leipzig, Germany.
⁴ Department Hepatobiliary and Digestive Surgery, Rennes University Hospital, Rennes, France.
⁵ Department of Plastic, Reconstructive and Aesthetic Surgery, Rennes University Hospital, Rennes, France.
⁶ Institute of Surgical Gastroenterology, Madras Medical College, Chennai, India.
⁷ Department of Thoracic Surgery I, Beijing University Cancer Hospital, Beijing, China.
⁸ Department of General, Visceral and Tumor Surgery, University Hospital of Cologne, Cologne, Germany.
⁹ Department of Digestive Surgery, University Hospital of Bordeaux, Bordeaux, France.
¹⁰ Combined Endoscopy Unit, University of Malaya Medical Center, Kuala Lumpur, Malaysia.
¹¹ Department of Thoracic Surgery, Fourth Hospital, Hebei Medical University, Shijiazhuang, China.
¹² Department of Thoracic Surgery, University Hospitals, Leuven, Belgium.
¹³ Department of Surgery, Hospital Britanico de Buenos Aires, Buenos Aires, Argentina.
¹⁴ Klinik St. Anna, Hirslanden, Lucerne, Switzerland.
¹⁵ Department of Surgery, University of Washington, Seattle, Washington.
¹⁶ Division of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic, Rochester, Minnesota.
¹⁷ Department of Surgery, University of Michigan, Ann Arbor, Michigan.

PMID: 29984413
DOI: 10.1111/nyas.13920

Abstract

Despite improvements in operative strategies for esophageal resection, anastomotic leaks, fistula, postoperative pulmonary complications, and chylothorax can occur. Our review seeks to identify potential risk factors, modalities for early diagnosis, and novel interventions that may ameliorate the potential adverse effects of these surgical complications following esophagectomy.

Keywords: anastomotic leak; chylothorax; complications; esophageal cancer; fistula.

Publication types

Research Support, Non-U.S. Gov't
Review

MeSH terms

Anastomotic Leak* / diagnosis
Anastomotic Leak* / therapy
Esophagectomy / adverse effects*
Esophagus / surgery*
Humans
Lung Diseases* / diagnosis
Lung Diseases* / etiology
Lung Diseases* / therapy