A large anastomotic leakage after esophageal surgery treated with endoluminal vacuum-assisted closure: a case report-Reference-Cited by-同舟云学术

A large anastomotic leakage after esophageal surgery treated with endoluminal vacuum-assisted closure: a case report

Published:2020-04-01 Issue:4 Volume:2020 Page:
ISSN:2042-8812
Container-title:Journal of Surgical Case Reports
language:en
Short-container-title:

Author:

Mandarino Francesco Vito¹,Bonura Giuliano Francesco¹,Esposito Dario²,Rosati Riccardo³,Parise Paolo³,Fanti Lorella²

Affiliation:

1. Division of Gastroenterology and Gastrointestinal Endoscopy, Department of Experimental Oncology, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy

2. Division of Gastroenterology and Gastrointestinal Endoscopy, Department of Experimental Oncology, IRCCS San Raffaele Scientific Institute, Milan, Italy

3. Division of Gastrointestinal Surgery, IRCCS San Raffaele Scientific Institute, Milan, Italy

Abstract

Abstract The treatment of anastomotic post-esophagectomy leaks and fistula is challenging. Endoluminal vacuum-assisted closure (EVAC) is an emerging technique that employs negative pressure wound therapy to treat anastomotic leaks endoscopically. Esosponge is specifically designed for esophageal EVAC therapy. We report on a 49-year-old woman who underwent a totally mini-invasive Ivor–Lewis esophagectomy and developed a giant postoperative leak with a complex pleural collection, but she was not fit for surgical re-intervention. The patient healed almost completely after 14 exchange sessions of Esosponge over 35 days.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Link

http://academic.oup.com/jscr/article-pdf/2020/4/rjaa071/33120740/rjaa071.pdf

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