Table 4.
Resource usage, treatment outcome, and complications in 74 patients treated for AL after Ivor Lewis esophagectomy during 2010–2021
| Treatment resources, results and complications | ||||||
|---|---|---|---|---|---|---|
| All patients (n = 74) | Stent (n = 40) | EVT (n = 6) | EVT + stent (n = 14) | Conservative (n = 12) | Other (n = 2) | |
| Treatment resources | 4 | 4 | 2 (P = 0.13) | 7 (P = 0.09) | 2 (P = 0.01) | 4,5 |
| No of CT examinations (median) | ||||||
| No of gastroscopies (median) | 4 | 3,5 | 3,5 (P = 0.58) | 9,5 (P = 0.18) | 1 (P = 0.10) | 12 |
| Length of stay ICU (median) | 9 | 9 | 7 (P = 0.27) | 18 (P = 0.77) | 6 (P = 0.12) | 14,5 |
| Length of stay OUS (median) | 30 | 30,5 | 28 (P = 0.49) | 43 (P = 0.94) | 23 (P = 0.14) | 49 |
| Results | ||||||
| No of patients achieving leak closure | 66 (89%) | 34 (85%) | 6 (100%, P = 0.31) | 13 (93%, P = 0.44) | 12 (100%, P = 0.15) | 1 (50%) |
| Median duration of treatment (days) | 27 | 29,5 | 9,5 (P = 0.05) | 55 (P = 0.04) | 7 (P < 0.01) | 40 |
| No of patients developing airways fistula | 11 (15%) | 6 (15%) | 0 (P = 0.31) | 4 (29%, P = 0.25) | 0 (P = 0.15) | 1 (50%) |
| Stricture formation within 12 months | 24 (32%) | 15 (35%) | 2 (33%, P = 0.81) | 4 (29%, P = 0.55) | 3 (25%, P = 0.41) | 0 |
| Complications | ||||||
| Pneumonia | 42 (57%) | 25 (63%) | 5 (83%, P = 0.33) | 5 (36%, P = 0.09) | 5 (42%, P = 0.21) | 2 (100%) |
| Cardiovascular | 24 (33%) | 13 (33%) | 1 (17%, P = 0.44) | 6 (43%, P = 0.48) | 4 (33%, P = 0.97) | 0 |
| Necrosis of conduit | 4 (9%) | 3 (8%) | 0 (P = 0.48) | 1 (7%, P = 0.95) | 0 (P = 0.33) | 0 |
| Chyle leak | 2 (3%) | 2 (5%) | 0 (P = 0.58) | 0 (P = 0.39) | 0 (P = 0.43) | 0 |
| No of patients having a serious complications (CD ≥3) | 63 (85%) | 40 (100%) | 6 (100%, P = 1) | 14 (100%, P = 1) | 1 (8%, P < 0.01) | 2 (100%) |
EVT, endoscopic vacuum therapy; OUS, Oslo University Hospital; CT , computer tomography; Values in bold are statistical significant (p < 0.05).