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

Fischer, Andreas; Thimme, Robert; Hopt, Ulrich T.; Richter-Schrag, Hans-Jürgen

doi:10.1055/s-0042-111078

Cited by 12 publications

(14 citation statements)

References 13 publications

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“…Leeds et al reported on a first case series of nine patients treated with ENPT for staple line leaks after laparoscopic sleeve gastrectomy 13 . In addition, new treatment indications and techniques have been found for leaks of the duodenum, pancreas, stomach, colon and biliary system 14 15 16 .…”

Section: Discussionmentioning

confidence: 99%

Open-pore film drainage (OFD): a new multipurpose tool for endoscopic negative pressure therapy (ENPT)

et al. 2018

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Background and study aims Endoscopic negative pressure therapy (ENPT) has been developed to treat gastrointestinal leakages. Up to now, ENPT has usually been performed with open-pore polyurethane foam drains (OPD). A big disadvantage of the OPDs is their large diameter. We have developed a new, small-bore open-pore film drainage (OFD). Herein we report our first experience in a case series of 16 patients. Patients and methods OFD is constructed with a drainage tube and a very thin double-layered open-pore drainage film (Suprasorb CNP, Drainage Film, Lohmann & Rauscher International, Germany). The distal end of the tube is wrapped with only one layer of film. OFD is placed into the gastrointestinal leakage site with common endoscopic techniques. The tube is connected to an electronic vacuum device and continuous negative pressure of –125 mmHg applied. Results From 2013 to 2016, 16 patients were treated with the new OFD device. In 10 patients, transmural intestinal defects (4 esophageal, 4 rectum/colon, 1 duodenal, 1 pancreatic cyst) were closed with ENPT in median time of 12 days (range 3 – 34 days). Five of the 10 patients were treated solely with OFD devices. In five patients ENPT started with ODP and changed to OFD when the cavity was shrunken to a channel with a small opening. In four patients postoperative gastric reflux was eliminated for 5 to 16 days. Conclusions Small-bore OFD opens up promising new treatment options within ENPT. OFD can be used in endoscopic closure management of intestinal leakages in the upper and lower gastrointestinal tract. Gastric reflux can be eliminated in an active manner. OFD can be inserted nasally. OFD may be an adequate substitute for OPD, especially when placement of the larger OPD is difficult.

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Section: Discussionmentioning

confidence: 99%

Open-pore film drainage (OFD): a new multipurpose tool for endoscopic negative pressure therapy (ENPT)

et al. 2018

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“…We use new types of drains where the open-pore drainage element is placed in the middle of a long tube [ 12 – 14 ]. The placement maneuver is similar to the thread pull-through method in percutaneous endoscopic gastrostomy.…”

Section: Visible Surgical Drain In An Intestinal Defect Enterocutanementioning

confidence: 99%

Tips and tricks for endoscopic negative pressure therapy

Loske

Müller

2018

Chirurg

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Endoscopic negative-pressure therapy (ENPT) is becoming a valuable tool in surgical complication management of transmural intestinal defects and wounds in the upper and lower gastrointestinal tract. Innovative materials for drains have been developed, endoscopic techniques adapted, and new indications for ENPT have been found. Based on our broad clinical experience, numerous tips and tricks are described, which contribute to the safety of dealing with the new therapy. The aim of this work is to present these methods. The focus is on describing the treatment in the esophagus.

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“…1 ). OPDs have been developed for placement using the pull-through technique in which the OD lies in the middle section of the drain [ 32 , 33 ]. This considerably simplifies endoscopic placement in the presence of an enterocutaneous fistula.…”

Section: New Open-pore Polyurethane Foam Drainsmentioning

confidence: 99%

“…Active and complete intraluminal drainage of secretions also plays a very important role here [ 60 ]. Use of the pull-through technique to advance the drain along an enterocutaneous access point to the internal wound is also useful [ 32 ].…”

Section: Enpt In the Pancreasmentioning

confidence: 99%

Endoscopic negative pressure therapy of the upper gastrointestinal tract

Loske

2018

Chirurg

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Endoscopic negative pressure therapy (ENPT) has been adapted for upper gastrointestinal tract applications. More than 400 patients have already been treated with ENPT due to transmural defects in the upper gastrointestinal tract, with a success rate of 87%. The greatest experience exists for the treatment of anastomotic leakages and perforations of the esophagus. The ENPT is also used in the duodenum, pancreas and for complications after bariatric surgery. There are new indications that go beyond treatment in complication management. Innovative drainage types and endoscopic techniques have been developed that broaden the spectrum of applications. The aim of this article is to give an overview of the current status of ENPT in the upper gastrointestinal tract.

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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

Cited by 12 publications

References 13 publications

Open-pore film drainage (OFD): a new multipurpose tool for endoscopic negative pressure therapy (ENPT)

Open-pore film drainage (OFD): a new multipurpose tool for endoscopic negative pressure therapy (ENPT)

Tips and tricks for endoscopic negative pressure therapy

Endoscopic negative pressure therapy of the upper gastrointestinal tract

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