The clinical suspicion of a leaking intrathoracic esophagogastric anastomosis: the role of CT imaging.

ABSTRACT:

Background

CT imaging is the primary diagnostic approach to assess the integrity of the intrathoracic anastomosis following Ivor Lewis esophagectomy. In the postoperative setting interpretation of CT findings, such as air and fluid collections, may be challenging. Establishment of a scoring system that incorporates CT findings to diagnose anastomotic leakage could assist radiologists and surgeons in the postoperative phase.

Methods

Consecutive patients who underwent a CT scan for a clinical suspicion of postoperative anastomotic leakage following Ivor Lewis esophagectomy between 2010 and 2016 in two medical centers were retrospectively included. Scans were excluded when oral contrast was not (correctly) administered. Acquired images were randomized and independently assessed

SUBMITTER: Plat VD 

PROVIDER: S-EPMC7797855 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature