What is it about?

Reflux hinders anastomotic healing; it is a risko for aspiration after Ivor-Lewis Resektion. Elimination of the reflux with a new negative pressure drain device promotes anastomotic healing. Enteral nutrition is given along a integrated feeding tube.

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Why is it important?

Construction of the drain is shown in video. The new drain device is very small. Easily, it is inserted through the nose similiar to a gastric tube. Negative pressure is applied to the drain with an electronic pump, this results in complete and permanent evacuation of the stomach.

Perspectives

Prevention of reflux might reduce risk of anastomotic leaks after esophagoectomy. This has to be shown in further studies.

Dr Gunnar Loske
Katholisches Marienkrankenhaus GmbH

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This page is a summary of: Prevention of reflux after esophagectomy with endoscopic negative pressure therapy using a new double-lumen open-pore film drainage with an intestinal feeding tube, Endoscopy, September 2017, Thieme Publishing Group, DOI: 10.1055/s-0043-118211.
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