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Endoscopic vacuum-assisted closure therapy for the treatment of oesophageal anastomotic leaks

Journal Volume 82 - 2019
Issue Fasc.4 - Case reports
Author(s) M. Struyve, C. De Vloo, H. Van Veer, L. Depypere, P. Nafteux, P. Roelandt
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(1) Department of Gastroenterology and Hepatology, University Hospitals Leuven, KU Leuven, Leuven, Belgium ; (2) Department of Gastroenterology and Hepatology, Ziekenhuis Oost-Limburg (ZOL), Genk, Belgium ; (3) Department of Thoracic Surgery, University Hospitals Leuven, KU Leuven, Leuven, Belgium.

Persisting suture dehiscence with oesophageal anastomotic leaks after thoracic surgery is a difficult complication, especially when a surgical repair fails. We report here endoscopic vacuum-assisted closure therapy as a novel endoscopic treatment for the management of oesophageal anastomotic leaks. Endoscopic vacuum-assisted closure therapy is a minimally invasive method to treat anastomotic leakage by positioning an open-pored polyurethane sponge and a suction tube connected to a wound drainage system into the opening of the wound cavity. This multidisciplinary endoscopic and surgical approach is a successful therapy for the management of suture dehiscence with oesophageal anastomotic leaks after thoracic surgery or oesophageal perforations. (Acta gastroenterol. belg., 2019, 82, 529-531).

© Acta Gastro-Enterologica Belgica.
PMID 31950809