Success of endoscopic vacuum therapy for persistent anastomotic leak after esophagectomy - A case report

INTRODUCTIONEndoscopic vacuum (endovac) therapy has shown excellent outcomes when used for esophageal anastomotic leaks. The results of endovac therapy are superior to those of other endoscopic therapies for esophageal leaks.CASE PRESENTATIONWe present a case of a 70-year-old male with esophageal ad...

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Bibliographic Details
Published in:International journal of surgery case reports 2021, Vol.80, p.105342-105342
Main Authors: Satoskar, Savni, Kashyap, Sarang, Benavides, Francisco, Jones, Robert, Angelico, Richard, Singhal, Vinay
Format: Report
Language:English
Online Access:Get full text
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Summary:INTRODUCTIONEndoscopic vacuum (endovac) therapy has shown excellent outcomes when used for esophageal anastomotic leaks. The results of endovac therapy are superior to those of other endoscopic therapies for esophageal leaks.CASE PRESENTATIONWe present a case of a 70-year-old male with esophageal adenocarcinoma who underwent Ivor Lewis esophagogastrectomy that was complicated by an esophageal leak. After failure of multiple endoscopic therapies (i.e. stents and clips), he responded well to endovac therapy.DISCUSSIONEndovac therapy is extremely useful for the treatment of esophageal leaks. The widespread use of endovac therapy is feasible, even in smaller community hospitals.CONCLUSIONEndovac therapy is a valuable tool that can be used widely for the management of esophageal leaks. Commercially available devices need to be developed in order to facilitate endovac placement and exchange so that the procedure is less dependent on the skill of the operator.
ISSN:2210-2612
2210-2612
DOI:10.1016/j.ijscr.2020.11.092