MARC details
| 000 -LEADER |
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| fixed length control field |
03383nam a22004577a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
200709s20202020 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
2072-1439 |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.21037/jtd.2020.01.15 [doi] |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
jtd-12-03-1022 [pii] |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
PMC7139088 [pmc] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
32274171 |
| 245 ## - TITLE STATEMENT |
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| Title |
Management of anastomotic leaks after esophagectomy and gastric pull-up. [Review] |
| 251 ## - Source |
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| Source |
Journal of Thoracic Disease. 12(3):1022-1030, 2020 Mar. |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
J. thorac. dis.. 12(3):1022-1030, 2020 Mar. |
| 253 ## - Journal Name |
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| Journal name |
Journal of thoracic disease |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2020 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2020 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
ppublish |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2020-07-09 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Anastomotic leak is one of the most feared complications of esophagectomy, leading to prolonged hospital stay, increased postoperative mortality, and additional cost both to the patient and the hospital. Historically, anastomotic leaks have been treated with several techniques including conservative measures, percutaneous or operative drainage, primary surgical repair with buttressing, T-tube drainage, or excision of the esophageal replacement conduit with end esophagostomy. With advances in treatment modalities, including endoscopic stenting, clips and suturing, endoluminal vacuum-assisted closure (EVAC), such leaks increasingly are being managed without operative re-intervention and with salvage of the esophageal replacement conduit. For the purposes of this review, we identified studies analyzing the management of postoperative leak after esophagectomy. We then compared the efficacy of the various newer modalities for closure of anastomotic leaks and gastric conduit defects. We found both esophageal stent and EVAC sponges are effective treatments for closure of anastomotic leak. The chosen treatment modality for salvage of the esophageal replacement conduit is entirely dependent on the patient's clinical status and the surgeon's preference and experience. Emerging endoscopic and endoluminal therapies have increased the armamentarium of tools the esophageal surgeon has to facilitate successful resolution of anastomotic leaks following esophagectomy with reconstruction. While some literature suggests that EVACs have a slightly superior result in conduit success, we question this endorsement as EVACs mostly are utilized for contained leaks, many of which may have healed with conservative measures. This poses a challenge as there is clearly a bias given patient selection. Copyright 2020 Journal of Thoracic Disease. All rights reserved. |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Washington Hospital Center |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
MedStar Georgetown University Hospital Residents |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Surgery/General Surgery |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Surgery/Thoracic Surgery |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Review |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Famiglietti, Amber |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Hamm, Margaret |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Henderson, Hayley |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Khaitan, Puja Gaur |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Lazar, John F |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Malouf, Stefanie |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Margolis, Marc |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Watson, Thomas J J |
| 790 ## - Authors |
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| All authors |
Famiglietti A, Hamm M, Henderson H, Khaitan PG, Lazar JF, Malouf S, Margolis M, Watson TJ |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.21037/jtd.2020.01.15">https://dx.doi.org/10.21037/jtd.2020.01.15</a> |
| Public note |
https://dx.doi.org/10.21037/jtd.2020.01.15 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Koha item type |
Journal Article |
| Item type description |
Article |
