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Routine use of contrast swallow after total gastrectomy and esophagectomy : is it justified?

Routine use of contrast swallow after total gastrectomy ...

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dc.contributor.author El-Sourani, Nader pl
dc.contributor.author Bruns, Helge pl
dc.contributor.author Troja, Achim pl
dc.contributor.author Raab, Hans-Rudolf pl
dc.contributor.author Antolovic, Dalibor pl
dc.date.accessioned 2017-04-24T13:57:38Z
dc.date.available 2017-04-24T13:57:38Z
dc.date.issued 2017 pl
dc.identifier.issn 1733-134X pl
dc.identifier.uri http://ruj.uj.edu.pl/xmlui/handle/item/39679
dc.language eng pl
dc.rights Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska *
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/3.0/pl/legalcode *
dc.title Routine use of contrast swallow after total gastrectomy and esophagectomy : is it justified? pl
dc.type JournalArticle pl
dc.description.physical 170-173 pl
dc.description.additional Bibliogr. s. 173 pl
dc.abstract.en BACKGROUND: After gastrectomy or esophagectomy, esophagogastrostomy and esophagojejunostomy are commonly used for reconstruction. Water-soluble contrast swallow is often used as a routine screening to exclude anastomotic leakage during the first postoperative week. In this retrospective study, the sensitivity and specificity of oral water-soluble contrast swallow for the detection of anastomotic leakage and its clinical symptoms were analysed. MATERIAL AND METHODS: Records of 104 consecutive total gastrectomies and distal esophagectomies were analysed. In all cases, upper gastrointestinal contrast swallow with the use of a water-soluble contrast agent was performed on the 5th postoperative day. Extravasation of the contrast agent was defined as anastomotic leakage. When anastomotic insufficiency was suspected but no extravasation was present, a computed tomography (CT) scan and upper endoscopy were performed. RESULTS: Oral contrast swallow detected 7 anastomotic leaks. Based on CT-scans and upper endoscopy, the true number of anastomotic leakage was 15. The findings of the oral contrast swallow were falsely positive in 4 and falsely negative in 12 patients, respectively. The sensitivity and specificity of the oral contrast swallow was 20% and 96%, respectively. CONCLUSIONS: Routine radiological contrast swallow following total gastrectomy or distal esophagectomy cannot be recommended. When symptoms of anastomotic leakage are present, a CT-scan and endoscopy are currently the methods of choice. pl
dc.subject.en contrast media pl
dc.subject.en esophagectomy pl
dc.subject.en gastrectomy pl
dc.subject.en multidetector computed tomography pl
dc.subject.en swallows pl
dc.description.volume 82 pl
dc.identifier.doi 10.12659/PJR.899951 pl
dc.identifier.eissn 1899-0967 pl
dc.title.journal Polish Journal of Radiology pl
dc.language.container eng pl
dc.subtype Article pl
dc.rights.original CC-BY-NC-ND; otwarte czasopismo; ostateczna wersja wydawcy; w momencie opublikowania; 0; pl


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Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska Except where otherwise noted, this item's license is described as Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska