{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T01:48:15Z","timestamp":1751420895828},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"1019","license":[{"start":{"date-parts":[[2012,11,1]],"date-time":"2012-11-01T00:00:00Z","timestamp":1351728000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,11,1]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>The aim of this study was to retrospectively evaluate the technical success rates and clinical effectiveness of fluoroscopically guided nose tube drainage of mediastinal abscesses and a nasojejunum feeding tube in post-operative gastro-oesophageal anastomotic leakage (GEAL).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>From January 2006 to June 2011, 18 cases of post-operative GEAL with mediastinal abscesses after oesophagectomy with intrathoracic oesophagogastric anastomotic procedures for oesophageal and cardiac carcinoma were treated by insertion of a nose drainage tube and nasojejunum feeding tube under fluoroscopic guidance. We evaluated the feasibility of two-tube insertion to facilitate leakage site closure and complete resolution of the abscess, and the patients\u2019 nutritional benefit was also evaluated by checking the serum albumin level between pre- and post-enteral feeding via the feeding tube.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The two tubes were placed successfully under fluoroscopic guidance in 18 patients (100%). The procedure time for two-tube insertion ranged from 20 to 40 min (mean 30 min). 17 patients (94%) achieved leakage site closure after two-tube insertion and had a good tolerance of two tubes in the nasal cavity. The serum albumin level was significant, increased from pre-enteral feeding (2.49\u00b10.42 g dl\u22121) to the post-enteral feeding (3.58\u00b10.47 g dl\u22121) via the feeding tube (p&amp;lt;0.001). The duration of follow-up ranged from 1 to 49 months (mean 19 months).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The insertion of nose tube drainage and a nasojejunum feeding tube under fluoroscopic guidance is safe, and it provides effective relief from mediastinal abscesses in GEAL after oesophagectomy. Moreover, our findings indicate that two-tube insertion may be used as a selective procedure to treat mediastinal abscesses in post-operative GEAL.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Advances in knowledge<\/jats:title>\n                  <jats:p>Directive drainage of mediastinal abscesses in post-operative GEAL may be an effective treatment.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1259\/bjr\/53905073","type":"journal-article","created":{"date-parts":[[2012,7,18]],"date-time":"2012-07-18T22:23:31Z","timestamp":1342650211000},"page":"1477-1481","source":"Crossref","is-referenced-by-count":4,"title":["Fluoroscopically guided nose tube drainage of mediastinal abscesses in post-operative gastro-oesophageal anastomotic leakage"],"prefix":"10.1093","volume":"85","author":[{"given":"Q Y","family":"Xu","sequence":"first","affiliation":[{"name":"Department of Interventional Radiology, Cancer Hospital of Jiangsu Province, Cancer Institution of Jiangsu Province, Nanjing, China,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G W","family":"Yin","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Cancer Hospital of Jiangsu Province, Cancer Institution of Jiangsu Province, Nanjing, China,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S X","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Cancer Hospital of Jiangsu Province, Cancer Institution of Jiangsu Province, Nanjing, China,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Cancer Hospital of Jiangsu Province, Cancer Institution of Jiangsu Province, Nanjing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"X J","family":"Bai","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Cancer Hospital of Jiangsu Province, Cancer Institution of Jiangsu Province, Nanjing, China,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J D","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Cancer Hospital of Jiangsu Province, Cancer Institution of Jiangsu Province, Nanjing, China,"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2014,1,28]]},"reference":[{"key":"2024050213270585500_b1","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1002\/jso.2930490307","article-title":"Cancer of the esophagus: esophagogastric anastomotic leak-a retrospective study of predisposing factors.","volume":"49","author":"Patil","year":"1992","journal-title":"J Surg Oncol"},{"key":"2024050213270585500_b2","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1016\/0002-9610(92)90393-6","article-title":"Factors affecting cervical 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