Type:
Educational Exhibit
Keywords:
Gastrointestinal tract, Interventional non-vascular, Interventional vascular, Percutaneous, Lymphography, CT-Angiography, Catheters, Drainage, Embolisation, Abscess, Multidisciplinary cancer care, Haemorrhage
Authors:
J. Salvador García, E. Lonjedo, J. Gomez, A. Ruiz Guanter, E. Casula; Valencia/ES
DOI:
10.1594/ecr2018/C-1454
Background
Regardless of the surgical technique used,
esophageal resection is a high-risk procedure associated with considerable morbidity and mortality.
Among all elective gastrointestinal surgical interventions,
esophagectomy has the highest mortality rate,
ranging from 3%–22% (1).
Despite during the last years this technique and the perioperatory management have improved,
the incidence of post-surgery complications remains high,
especially whether the procedure is performed in a low volume center. Different interventionist procedures (such as percutaneous drain abscess or fluid collection aspiration) have been introduced to the clinical practice as an efficient way to solve the complications,
often avoiding the need for repeat surgical intervention.
Arterial and thoracic duct embolization in the management of hemorrhage and chylothorax,
respectively,
can be recognized and treated by the interventional radiologist with minimally invasive techniques.
Esophageal balloon dilation and stent placement are safe and effective treatments for esophageal strictures.