Endoscopic vacuum therapy for esophageal perforations and leakages

Background and study aims: Injuries to the esophageal wall, such as perforations and anastomotic leaks, are serious complications of surgical and endoscopic interventions. Since 2006, a new treatment has been introduced, in the form of endoscopically placed vacuum sponge therapy. Patients and method...

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Published in:Endoscopy International Open 2015-12, Vol.3 (6), p.E554-E558
Main Authors: Möschler, Oliver, Nies, Christoph, Mueller, Michael K.
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Nies, Christoph
Mueller, Michael K.
description Background and study aims: Injuries to the esophageal wall, such as perforations and anastomotic leaks, are serious complications of surgical and endoscopic interventions. Since 2006, a new treatment has been introduced, in the form of endoscopically placed vacuum sponge therapy. Patients and methods: Between April 2012 and October 2014, 10 patients (5 men and 5 women) aged 57 to 94 years were treated at our institution using endoscopic vacuum therapy (EVT) in the upper gastrointestinal tract. Results: The defect in the esophageal wall was successfully closed in seven of the 10 patients (70 %). No severe complications occurred. Conclusions: EVT is a valuable tool for management of defects in the esophageal wall and should be considered as a treatment option for patients with this condition.
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title Endoscopic vacuum therapy for esophageal perforations and leakages
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