Examination of anastomotic leak with aqueous contrast swallow after total gastrectomy: Should it be carried out routinely?

Ulaş Aday; Ebubekir Gündeş; Hüseyin Çiyiltepe; Durmuş Çetin; Selçuk Gülmez; Aziz Senger; Kamuran C. Değer; Mustafa Duman

doi:10.5114/wo.2017.70112

eISSN: 1897-4309
ISSN: 1428-2526

Contemporary Oncology/Współczesna Onkologia

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3/2017
vol. 21

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abstract:

Original paper

Examination of anastomotic leak with aqueous contrast swallow after total gastrectomy: Should it be carried out routinely?

Ulaş Aday

,

Ebubekir Gündeş

,

Hüseyin Çiyiltepe

,

Durmuş A. Çetin

,

Selçuk Gülmez

,

Aziz S. Senger

,

Kamuran C. Değer

,

Mustafa Duman

Contemp Oncol (Pozn) 2017; 21 (3): 224–227

DOI: https://doi.org/10.5114/wo.2017.70112

Online publish date: 2017/09/29

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AMA

Aday U, Gündeş E, Çiyiltepe H, et al. Examination of anastomotic leak with aqueous contrast swallow after total gastrectomy: Should it be carried out routinely?. Contemporary Oncology/Współczesna Onkologia. 2017;21(3):224-227. doi:10.5114/wo.2017.70112.

APA

Aday, U., Gündeş, E., Çiyiltepe, H., Çetin, D. A., Gülmez, S.,  & Senger, A. S. et al. (2017). Examination of anastomotic leak with aqueous contrast swallow after total gastrectomy: Should it be carried out routinely?. Contemporary Oncology/Współczesna Onkologia, 21(3), 224-227. https://doi.org/10.5114/wo.2017.70112

Chicago

Aday, Ulaş, Ebubekir Gündeş, Hüseyin Çiyiltepe, Durmuş A Çetin, Selçuk Gülmez, Aziz S Senger,  and Kamuran C. Değer et al. 2017. "Examination of anastomotic leak with aqueous contrast swallow after total gastrectomy: Should it be carried out routinely?". Contemporary Oncology/Współczesna Onkologia 21 (3): 224-227. doi:10.5114/wo.2017.70112.

Harvard

Aday, U., Gündeş, E., Çiyiltepe, H., Çetin, D., Gülmez, S., Senger, A., Değer, K.,  and Duman, M. (2017). Examination of anastomotic leak with aqueous contrast swallow after total gastrectomy: Should it be carried out routinely?. Contemporary Oncology/Współczesna Onkologia, 21(3), pp.224-227. https://doi.org/10.5114/wo.2017.70112

MLA

Aday, Ulaş et al. "Examination of anastomotic leak with aqueous contrast swallow after total gastrectomy: Should it be carried out routinely?." Contemporary Oncology/Współczesna Onkologia, vol. 21, no. 3, 2017, pp. 224-227. doi:10.5114/wo.2017.70112.

Vancouver

Aday U, Gündeş E, Çiyiltepe H, Çetin D, Gülmez S, Senger A et al. Examination of anastomotic leak with aqueous contrast swallow after total gastrectomy: Should it be carried out routinely?. Contemporary Oncology/Współczesna Onkologia. 2017;21(3):224-227. doi:10.5114/wo.2017.70112.

PlumX metrics:

Aim of the study: Examination of esophagojejunal (EJ) anastomosis with aqueous contrast swallow after total gastrectomy is still routinely conducted by many centres. The present study aimed to answer the question: Is it necessary to evaluate EJ anastomosis in terms of leakage by having every patient drink oral contrast agent before initiation of oral food intake after total gastrectomy (TG) performed due to gastric cancer?

Material and methods: Clinical and radiological results of patients on whom total gastrectomy was performed due to gastric cancer between January 2013 and December 2016 were retrospectively reviewed. Diagnostic method used for patients in whom leak developed and therapeutic interventions were assessed. Evaluation results from aqueous contrast agent and clinical, laboratory, and tomographic findings were studied.

Results: Sixty of the 69 patients who underwent total gastrectomy with a diagnosis of gastric adenocarcinoma swallowed aqueous contrast agent on postoperative day 7 ±2 days and were evaluated in terms of anastomotic leak. Leak developed in 14 patients (20.2 %), 10 of whom ingested contrast agent. Leak was identified in 6 of those patients; however, diagnosis was made with multislice computed tomography (CT) in four patients (40%). The sensitivity of the examination with aqueous contrast agent was 60%.

Conclusions: Evaluating anastomotic leak with aqueous contrast agent after TG has low sensitivity, and it would be wise to resort to this procedure in cases with clinical suspicion, rather than routinely performing it in every patient.

keywords:

Examination of anastomotic leak with aqueous contrast swallow after total gastrectomy: Should it be carried out routinely?

Ulaş Aday , Ebubekir Gündeş , Hüseyin Çiyiltepe , Durmuş A. Çetin , Selçuk Gülmez , Aziz S. Senger , Kamuran C. Değer , Mustafa Duman

anastomotic leak, diagnostic imaging, esophagojejunal anastomosis, gastrectomy

Ulaş Aday

,

Ebubekir Gündeş

,

Hüseyin Çiyiltepe

,

Durmuş A. Çetin

,

Selçuk Gülmez

,

Aziz S. Senger

,

Kamuran C. Değer

,

Mustafa Duman