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

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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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