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EndoTODAY ³»½Ã°æ ±³½Ç


[Esophageal fistula and EVAC for postoperative leak]


1. Esophagorespiratory fistula (ERF)

2014³â 10¿ù ³»½Ã°æÇÐȸ ±³À°ÀÚ·á¿¡¼­ esophagorespiratory fistula (ERF)°¡ ´Ù·ïÁ³½À´Ï´Ù. Ãæ³²´ëÇб³ ¹®Èñ»ó ±³¼ö´ÔÀÌ ¾²¼Ì´Âµ¥ ³»¿ëÀÌ compactÇÏ°í ÁÁ¾Ò½À´Ï´Ù. Àϵ¶À» ±ÇÇÕ´Ï´Ù.


PDF 0.3 M


[More cases]

Lung cancer with tracheoesophageal fistula


2. Endoscopic vacuum therapy for postoperative esophageal leak (¼º±Õ°üÀÇ´ë ¹Î¾ç¿ø)

¹Î¾ç¿ø ±³¼ö´Ô²²¼­´Â 2018³â 5¿ù 12ÀÏ ÀϺ»³»½Ã°æÇÐȸ¿¡¼­ ½Äµµ¾Ï ¼ö¼ú ÈÄ fistula¿¡ ´ëÇÏ¿© sponge suctionÀ» ÀÌ¿ëÇÑ EVAC Ä¡·á¸¦ Àû¿ëÇÏ¿© 95%ÀÇ success rate¸¦ º¸ÀÎ ¸ÚÁø ÀڷḦ º¸¿©Áּ̽À´Ï´Ù.

2018-5-12

Sponge´Â (1) granulation tissue formationÀ» ÃËÁøÇÏ°í (2) À½¾Ð drain¿¡ Á¡¸·ÀÌ µé·¯ºÙÁö ¾Ê¾Æ¼­ È¿°úÀûÀÎ drainÀÌ µÉ ¼ö Àֱ⠶§¹®¿¡ fistula ÇØ°á¿¡ µµ¿òÀÌ µÇ´Â °Í °°½À´Ï´Ù. ÀÏÁÖÀÏ¿¡ µÎ ¹ø Á¤µµ sponge drainÀ» ±³Ã¼ÇÕ´Ï´Ù. ÇÒ ¶§¸¶´Ù Á¶±Ý¾¿ ÀÛÀº sponge¸¦ ÀÌ¿ëÇÕ´Ï´Ù. Á¡Â÷ ÀÛ¾ÆÁ®¼­ °á±¹ ¸·Èü´Ï´Ù.

Endoscopy 2013


[2017-5-9. Ãß°¡] Leakage ¹ß»ý ÀÌÀü severe ischemia ´Ü°è¿¡¼­ ¹Ì¸® EVAC ºñ½ÁÇÑ ¹æ¹ýÀ» Àû¿ëÇÑ ¿¬±¸°¡ ¹ßÇ¥µÇ¾ú½À´Ï´Ù. Pre-emptive endoscopic vacuum therapy for treatment of anastomotic ischemia after esophageal resections. Endoscopy 2017

[2017-5-10. Ãß°¡] ÀÜÀ§¾Ï¿¡ ´ëÇÏ¿© completion total gastectomy ÈÄ anastomosis site leak°¡ ÀÖ¾î endoscopic vacuum therapy·Î Ä¡·áÇÑ Áõ·Ê¸¦ ¼Ò°³ÇÕ´Ï´Ù (EndoTODAY À§¾Ï 482).


[FAQ]

[2018-5-12. ÀÌÁØÇà Áú¹®]

EVAC Ä¡·á´Â ¹Ýº¹ÀûÀ¸·Î sponge¸¦ ¹Ù²ãÁÖ¾î¾ß ÇÕ´Ï´Ù. Sponge changeÀÇ °£°ÝÀº ¾î¶»°Ô °áÁ¤ÇÏ´ÂÁö¿ä?

[2018-5-12. ¹Î¾ç¿ø ±³¼ö´Ô ´äº¯]

È¿°úÀûÀÎ drainage¸¦ À§ÇÏ¿© ÀÏÁÖÀÏ¿¡ µÎ¹ø ±³È¯ÇÏ°í ÀÖ½À´Ï´Ù.

[2018-5-12. ÀÌÁØÇà Áú¹®]

½Äµµ ÀÌ¿ÜÀÇ Àå±â¿¡¼­ Àû¿ëÀÌ °¡´ÉÇÑÁö¿ä?

[2018-5-12. ¹Î¾ç¿ø ±³¼ö´Ô ´äº¯]

À§³ª ´ëÀå¿¡¼­ Àû¿ë °¡´ÉÇÕ´Ï´Ù. Subtotal gastrectomy ÈÄ¿¡´Â nasogastric tube°¡ ±æ±â ¶§¹®¿¡ sponage¸¦ Á¤È®ÇÑ À§Ä¡¿¡ À¯ÁöÇϱ⠾î·Á¿ö È¿°ú°¡ ´Ù¼Ò ¶³¾îÁý´Ï´Ù. ±×·¯³ª Total gastrectomy ÈÄ¿¡´Â ½Äµµ¿¡¼­¿Í ºñ½ÁÇÏ°Ô Àß À§Ä¡½Ãų ¼ö ÀÖÀ¸¹Ç·Î È¿°ú°¡ ºñ½ÁÇÏ´Ù°í »ý°¢ÇÕ´Ï´Ù. °³ÀÎÀûÀ¸·Î ´ëÀå¿¡¼­ Àû¿ëÇØ º» ÀûÀº ¾øÁö¸¸, ¹®Ç庸°í¸¦ º» ÀûÀÌ ÀÖ½À´Ï´Ù.

[2018-5-12. Uedo (Osaka) ¼±»ý´Ô Áú¹®]

Sponge´Â ¾î¶² °ÍÀ» »ç¿ëÇÏ°í ÀÖÀ¸¸ç ±¸Çϱ⠾î·ÆÁö´Â ¾Ê½À´Ï±î?

[2018-5-12. ¹Î¾ç¿ø ±³¼ö´Ô ´äº¯]

ÇǺΰú³ª ¿Ü°ú¿¡¼­ »óó Ä¡·á¸¦ À§ÇÏ¿© ³Î¸® »ç¿ëÇÏ´Â spongeÀÔ´Ï´Ù. ½±°Ô ±¸ÇÒ ¼ö ÀÖ½À´Ï´Ù.


[Cases]

Paravertebral abscess¿Í ½Äµµ »çÀÌÀÇ fistula·Î PEGÇÏ°í ±â´Ù·ÈÀ¸³ª È£ÀüµÇÁö ¾Ê¾Æ clipping


[References]

1) EndoTODAY 2016³â ½Äµµ¾Ï ½ÉÆ÷Áö¾ö

2) ½Äµµ ´©°ø¿¡ ´ëÇÑ ³»½Ã°æ À½¾Ð Ä¡·á(Endoscopic Vacuum Therapy for Esophageal Fistula) (2019-5 ³»½Ã°æÇÐȸ ±³À°ÀÚ·á)

© ÀÏ¿ø³»½Ã°æ±³½Ç ¹Ù¸¥³»½Ã°æ¿¬±¸¼Ò ÀÌÁØÇà. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng