Symptoms of anastomotic leakage in nasopharyngeal carcinoma

Update Date: 2024-11-16 Source: Network

summary

Anastomotic leakage is the most common serious disease after esophageal cancer surgery, and it is also the main cause of death. The occurrence factors are very complex, and various surgical methods can not guarantee that there is no leakage. So it is necessary to understand its symptoms. Let me introduce the symptoms of nasopharynx anastomotic leakage.

Symptoms of anastomotic leakage in nasopharyngeal carcinoma

The first symptom is persistent fever after operation or sudden high fever after eating, which may be accompanied by shivering, chest pain, dyspnea, decreased breath sound on the affected side, and fast heart rate. When the intrathoracic esophagogastric anastomosis is ruptured, a large amount of gastric juice flows into the chest, causing strong chemical stimulation, causing pleuropulmonary spasm.

The second symptom is pleural effusion or hydropneumothorax when there is no chest tube. When there is chest drainage, it shows that the nature of chest tube drainage changes. Food, saliva, gastric juice or pus are found. Pus often stinks due to intestinal bacteria.

Third, the late stage can cause wound infection, sometimes the infection can spread to the abdominal cavity through the esophageal bed, causing peritonitis. In the case of anastomotic leakage under the arch, gastric juice can flow into the abdominal cavity through the expanded hiatus along the esophageal bed, causing abdominal pain, abdominal distension and other peritonitis symptoms.

matters needing attention

Because of the lack of serous membrane and poor anti tension of esophagus, postoperative gastrointestinal decompression and active treatment of gastric emptying disorder are necessary measures to reduce anastomotic pressure. During the operation, we should pay attention to the protection of gastric blood supply, the suspension of thoracic stomach near the anastomotic site and the fixation of thoracic stomach prevertebral tissue are effective measures to reduce the anastomotic tension.