What is it about?
Intraluminal endoscopic vacuum therapy is a novel method to treat anastomotic leaks in upper GI. We have shown for the first time the pre-emptive endoscopic vacuum therapy in a case of a complete circular anastomotic necrosis after gastrectomy. No operative treatment was neccessary.
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Why is it important?
Report describes the use of the intraluminal variant of endoscopic vacuum therapy in esophagus. Treatment started as a pre-emptive therapy after diagnosis of the necrosis, a this time no leak was found. After 2 days of intraluminal endoscopic vacuum therapy necrosis was rejected completely. Successful treatment went on with vacuum therapy solely.
Perspectives
Pre-emptive endoscopic vacuum therapy can avoid operative treatment in case of servere postoperative complications of anaastomotic healing. Negative pressure therapy promotes anastomotic healing.
Dr Gunnar Loske
Katholisches Marienkrankenhaus GmbH
Read the Original
This page is a summary of: Endoscopic Intraluminal Vacuum Therapy of Complete Esophageal-Jejunal Anastomotic Rupture: A Case Report, Viszeralmedizin, January 2011, Karger Publishers,
DOI: 10.1159/000328082.
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