Endoscopic intracavitary pull-through vacuum treatment of an insufficient pancreaticogastrostomy

Fischer, Andreas; Richter-Schrag, Hans Juergen; Hoeppner, Jens; Braun, Alexander; Utzolino, Stefan

doi:10.1055/s-0034-1364951

Cited by 7 publications

(8 citation statements)

References 1 publication

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“…At the same time, a rubber drain was introduced into the cavity and drawn back slowly over 17 days. The anastomotic leak and abscess cavity were healed completely after 26 days of therapy [ 51 ].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic vacuum-assisted closure system (E-VAC): case report and review of the literature.

Borejsza-Wysocki¹,

Szmyt²,

Bobkiewicz³

et al. 2015

Videosurgery and Other Miniinvasive Techniques

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Negative pressure wound therapy (NPWT) has become a standard in the treatment of chronic and difficult healing wounds. Negative pressure wound therapy is applied to the wound via a special vacuum-sealed sponge. Nowadays, the endoscopic vacuum-assisted wound closure system (E-VAC) has been proven to be an important alternative in patients with upper and lower intestinal leakage not responding to standard endoscopic and/or surgical treatment procedures. Endoscopic vacuum-assisted wound closure system provides perfect wound drainage and closure of various kinds of defect and promotes tissue granulation. Our experience has shown that E-VAC may significantly improve the morbidity and mortality rate. Moreover, E-VAC may be useful in a multidisciplinary approach – from upper gastrointestinal to rectal surgery complications. On the other hand, major limitations of the E-VAC system are the necessity of repeated endoscopic interventions and constant presence of well-trained staff. Further, large-cohort studies need to be performed to establish the applicability and effectiveness of E-VAC before routine widespread use can be recommended.

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Section: Discussionmentioning

confidence: 99%

Endoscopic vacuum-assisted closure system (E-VAC): case report and review of the literature.

Borejsza-Wysocki¹,

Szmyt²,

Bobkiewicz³

et al. 2015

Videosurgery and Other Miniinvasive Techniques

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“…A very few successful treatments have been reported, adapting EVT by intraluminal approach to close duodenal leakage and guide biliary secretion [ 14 , 15 ]. One report described an endoscopic pull-through technique where the polyurethane foam drainage was introduced through a visible percutaneous abdominal drainage site [ 16 ]. In our case, this technique could have been utilized to introduce the vacuum sponge onto the defect zone given the large defect size and high drainage output, which might help in healing the duodenocutaneous fistula.…”

Section: Discussionmentioning

confidence: 99%

Acute Cholangitis following Biliary Obstruction after Duodenal OTSC Placement in a Case of Large Chronic Duodenocutaneous Fistula

Alastal

Hammad

Nawras

et al. 2015

Case Reports in Gastrointestinal Medicine

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Over-the-Scope Clip system, also called “Bear Claw,” is a novel endoscopic modality used for closure of gastrointestinal defect with high efficacy and safety. We present a patient with history of eosinophilic gastroenteritis and multiple abdominal surgeries including Billroth II gastrectomy complicated by a large chronic duodenocutaneous fistula from a Billroth II afferent limb to the abdominal wall. Bear Claw clip was used for closure of this fistula. The patient developed acute cholangitis one day after placement of the Bear Claw clip. Acute cholangitis due to papillary obstruction is a potential complication of Bear Claw placement at the dome of the duodenal stump (afferent limb) in patient with Billroth II surgery due to its close proximity to the major papilla.

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“…The TSS introduction into the cavity is comparable to the procedure described above 4 . Under endoscopic control, the sponge can be easily introduced into the cavity by pulling on the outer abdominal end of the TSS tube.…”

Section: Methodsmentioning

confidence: 99%

“…We recently reported a novel pull-through technique for EVT of an insufficient pancreaticogastrostomy 4 . A precondition for this procedure is an endoscopically attainable abdominal drainage in the extraluminal cavity which was placed close to the anastomosis during the operation.…”

Section: Introductionmentioning

confidence: 99%

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Two-sided sponge (TSS) treatment: Description of a novel device and technique for endoscopic vacuum treatment (EVT) in the upper gastrointestinal tract

et al. 2016

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Background and study aims: Endoscopic vacuum treatment (EVT) is increasingly used in the treatment of anastomotic leakages and perforations in the upper gastrointestinal tract. However, sponges often have to be mounted individually on a gastric tube and endoscopic introduction of the latter into an infected extraluminal cavity is challenging. In order to facilitate this procedure in some anatomical situations, we developed the prototype of a new sponge for EVT called a two-side sponge (TSS).

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Endoscopic intracavitary pull-through vacuum treatment of an insufficient pancreaticogastrostomy

Cited by 7 publications

References 1 publication

Endoscopic vacuum-assisted closure system (E-VAC): case report and review of the literature.

Endoscopic vacuum-assisted closure system (E-VAC): case report and review of the literature.

Acute Cholangitis following Biliary Obstruction after Duodenal OTSC Placement in a Case of Large Chronic Duodenocutaneous Fistula

Two-sided sponge (TSS) treatment: Description of a novel device and technique for endoscopic vacuum treatment (EVT) in the upper gastrointestinal tract

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