A large anastomotic leakage after esophageal surgery treated with endoluminal vacuum-assisted closure: a case report.

Esosponge esophageal leak esophagectomy vacuum therapy

Journal

Journal of surgical case reports
ISSN: 2042-8812
Titre abrégé: J Surg Case Rep
Pays: England
ID NLM: 101560169

Informations de publication

Date de publication:
Apr 2020
Historique:
received: 05 02 2020
revised: 04 03 2020
accepted: 06 03 2020
entrez: 1 5 2020
pubmed: 1 5 2020
medline: 1 5 2020
Statut: epublish

Résumé

The treatment of anastomotic post-esophagectomy leaks and fistula is challenging. Endoluminal vacuum-assisted closure (EVAC) is an emerging technique that employs negative pressure wound therapy to treat anastomotic leaks endoscopically. Esosponge is specifically designed for esophageal EVAC therapy. We report on a 49-year-old woman who underwent a totally mini-invasive Ivor-Lewis esophagectomy and developed a giant postoperative leak with a complex pleural collection, but she was not fit for surgical re-intervention. The patient healed almost completely after 14 exchange sessions of Esosponge over 35 days.

Identifiants

pubmed: 32351683
doi: 10.1093/jscr/rjaa071
pii: rjaa071
pmc: PMC7180323
doi:

Types de publication

Case Reports

Langues

eng

Pagination

rjaa071

Informations de copyright

Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2020.

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Auteurs

Francesco Vito Mandarino (FV)

Division of Gastroenterology and Gastrointestinal Endoscopy, Department of Experimental Oncology, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy.

Giuliano Francesco Bonura (GF)

Division of Gastroenterology and Gastrointestinal Endoscopy, Department of Experimental Oncology, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy.

Dario Esposito (D)

Division of Gastroenterology and Gastrointestinal Endoscopy, Department of Experimental Oncology, IRCCS San Raffaele Scientific Institute, Milan, Italy.

Riccardo Rosati (R)

Division of Gastrointestinal Surgery, IRCCS San Raffaele Scientific Institute, Milan, Italy.

Paolo Parise (P)

Division of Gastrointestinal Surgery, IRCCS San Raffaele Scientific Institute, Milan, Italy.

Lorella Fanti (L)

Division of Gastroenterology and Gastrointestinal Endoscopy, Department of Experimental Oncology, IRCCS San Raffaele Scientific Institute, Milan, Italy.

Classifications MeSH