Endoscopic vacuum-assisted closure therapy for the treatment of oesophageal anastomotic leaks
Struyve, M.; De Vloo, C.; Van Veer, H.; Depypere, L.; Nafteux, P.; Roelandt, P.
Acta Gastro-Enterologica Belgica 82(4): 529-531
2019
ISSN/ISBN: 1784-3227 PMID: 31950809 Document Number: 699247
Persisting suture dehiscence with oesophageal anastomotic leaks after thoracic surgery is a difficult complication, especially when a surgical repair fails. We report here endoscopic vacuum-assisted closure therapy as a novel endoscopic treatment for the management of oesophageal anastomotic leaks. Endoscopic vacuum-assisted closure therapy is a minimally invasive method to treat anastomotic leakage by positioning an open-pored polyurethane sponge and a suction tube connected to a wound drainage system into the opening of the wound cavity. This multidisciplinary endoscopic and surgical approach is a successful therapy for the management of suture dehiscence with oesophageal anastomotic leaks after thoracic surgery or oesophageal perforations.