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Outcomes of Esophageal Stent Therapy for the Management of Anastomotic Leaks

  • Thoracic Oncology
  • Published:
Annals of Surgical Oncology Aims and scope Submit manuscript

Abstract

Background

The purpose of this study was to present the optimal patient selection for esophageal stenting after esophageal resection to investigate possible factors leading to treatment success or treatment failure in these patients.

Methods

This was a prospective, observational study of patients from January 2005 to May 2019 with an esophageal anastomotic leak that were treated with a self-expandable stent (SES).

Results

A total of 34 patients were treated. All achieved technical success (100%); 33 (97%) achieved clinical success. No patient had to have reoperative surgery based on their leak management. The stenting in-hospital mortality was 0% with 1 patient (2%) with a 90-day mortality from possible leak-related death. Patients had their stents removed with a median of 106 days.

Conclusions

Stenting for an anastomotic leak after resection offers a safe and effective method of treatment and is successful in the majority of cases. Critical to success is optimal patient selection, adequate leak drainage, and optimal stent selection and placement.

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Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Division of Surgical Oncology, Department of Surgery, University of Louisville School of Medicine, Louisville, KY, USA

    Toni S. Carter B.S., Prejesh Philips MD, Michael Egger MD, Charles Scoggins MD & Robert C. G. Martin II MD, PhD, FACS

Authors
  1. Toni S. Carter B.S.
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  2. Prejesh Philips MD
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  3. Michael Egger MD
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  4. Charles Scoggins MD
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  5. Robert C. G. Martin II MD, PhD, FACS
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Corresponding author

Correspondence to Robert C. G. Martin II MD, PhD, FACS.

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Carter, T.S., Philips, P., Egger, M. et al. Outcomes of Esophageal Stent Therapy for the Management of Anastomotic Leaks. Ann Surg Oncol 28, 4960–4966 (2021). https://doi.org/10.1245/s10434-021-09669-6

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  • DOI: https://doi.org/10.1245/s10434-021-09669-6

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