What is it about?

All 10 patients were treated successfully (100%) in a very short treatment period of 5 (3-7 ) days.IEP can be treated solely with the novel endoscopic method. Negative pressure is used with a special drainage device to close and drain esophageal leakages, simultanously.

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Why is it important?

All 10 patients were treated successfully (100%) in a very short treatment period of 5 (3-7 ) days. (easy application throughout the whole length of esophagus, no complication observed, simultanously close and promote internal drainage in one step, no external thoracic drainage, no extra endoscopic intervention (clip/stent), no stenosis) Our study suggests that the new method of endoscopic vacuum therapy will play an important role in endoscopic management of all types of esophageal perforation.

Perspectives

Endoscopic vacuum therapy became one of our most important surgical and endoscopic tool in the treatment of intestinal leakages. It is our first line therapy for esophageal perforations and anastomotic insufficienzies.

Dr Gunnar Loske
Katholisches Marienkrankenhaus GmbH

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This page is a summary of: Iatrogenic perforation of esophagus successfully treated with Endoscopic Vacuum Therapy (EVT), Endoscopy International Open, August 2015, Thieme Publishing Group, DOI: 10.1055/s-0034-1392566.
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