Esophageal anastomotic leakage leakage in the esophagus
Conditions
Interventions
Endoscopic placement of a pre-emptive VACStent, right after Ivor Lewis
esophagectomy in the operation room, and removal after 5-7 days.
Sponsors
Amsterdam UMC
Eligibility
Inclusion criteria
Inclusion criteria: Undergoing an esophagectomy with gastric conduit reconstruction and intrathoracic anastomosis (Ivor Lewis) at the Amsterdam UMC
Exclusion criteria
Exclusion criteria: Patients with contra-indications for endoscopic vacuum therapy: defect length larger than 5 cm, defect less than 2cm from the proximal esophageal sphincter and ileus. Patients unable to sign informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Evaluate the technical and logistic feasibility and safety of pre-emptive VACStent placement in patients undergoing esophagectomy with gastric conduit reconstruction and intrathoracic anastomosis to prevent anastomotic leakage | — |
Secondary
| Measure | Time frame |
|---|---|
| - To study the rate of anastomotic leakage - To study the quality of life/quality of recovery - To study the length of ICU- and in-hospital stay - To study the 30-day morbidity and mortality | — |
Countries
Netherlands
Outcome results
None listed