Endoscopic vacuum assisted closure of esophagogastric anastomosis dehiscence: A case report

Current Status of Endoscopic Vacuum Therapy in the Management of Esophageal Perforations and Post-Operative Leaks

“…Since the first reported use of EVT in the upper gastrointestinal tract in 2008, specifically in the context of intrathoracic anastomotic leak, the range and scope of utility of the approach has widened substantially to include perforations, anastomotic leaks, and fistulae in a variety of clinical settings. 5 This has been demonstrated in multiple case reports across countries and institutions (Table 1), 1,5,[12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] with Germany being a particular focus of expertise and progress in the field. The A B approach has been increasingly demonstrated to be efficacious across a spectrum of etiologies, ages, comorbidities, and patient conditions.…”

Use of the endoscopic vacuum therapy technique for the treatment of esophageal fistulas: an integrative review and clinical case series study

“…Cwalinski and colleagues [14] reported that esophagogastric leakage is The VEC was stopped at the moment when a significant reduction of the wound cavity and a narrowing of the anastomotic leak was obtained where the anastomotic defect was too small for the placement of a sponge.…”

“…one of the most serious postoperative complications, emphasizing that partial anastomotic rupture can be successfully treated with an endoscopic vacuumassisted closure, the VEC. On this topic, the authors present two patients with postoperative gastroesophageal leak successfully treated with E-VAC[14].The first patient, a 53-year-old male, was admitted to the surgical clinicfor Siewert type II adenocarcinoma of the gastroesophageal junction. It was described that the patient underwent radical resection of the distal half of the esophagus and upper part of the stomach by means of thoracophrenlaparotomy.…”

“…2022; 02(1):65-82 performed inside the thoracic cavity to restore the continuity of the digestive tract. The postoperative period was complicated with dehiscence of the esophagogastric anastomosis followed by leakage into the mediastinum limited by the gastric conduit, lung and diaphragm, but without entering the pleural cavity [14].The second patient, a 23-year-old male, was also admitted to the surgical clinic with esophagogastric anastomotic dehiscence 4 days after urgent proximal resection of the stomach due to massive Mallory-Weiss bleeding that did not respond to endoscopic treatment[14].After imaging tests, after contrast, it was evidenced that the first patient showed a passage of the contrast medium beyond the gastrointestinal tract to the mediastinum, and the endoscopic evaluation revealed a posterior rupture of the esophagogastric anastomosis in 30% of its circumference[14]. less than 10% of the circumference of the anastomosis in theform of focal necrosis.…”

Filtró la anastomosis esofágica. ¿Y ahora qué?

“…Algunos reportes de 2016 1 , 2019 5 , 2020 6 , metaanálisis de 2018 7 y revisión sistemática de 2019 8 muestran no solo lo reproducible de la técnica, sino que además, que en una estadía hospitalaria similar o menor, esta técnica ha demostrado disminución y cierre de la cavidad con menor morbilidad (OR 0,38; p = 0,01) 7 y mortalidad (OR 0,33; p = 0,002) [7][8] en comparación a la utilización de SEMS, lo que apoya la hipótesis de que, es una técnica útil y que llegó para quedarse.…”