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Surgical Endoscopy

Published in:

01-06-2013

Endoscopic vacuum therapy of anastomotic leakage and iatrogenic perforation in the esophagus

Authors: Tobias Schorsch, Christian Müller, Gunnar Loske

Published in: Surgical Endoscopy | Issue 6/2013

Abstract

Background

The management of anastomotic leakage and iatrogenic esophageal perforation has shifted over recent decades from aggressive surgery to conservative and, recently, endoscopic therapy alternatives. The authors present their results for endoscopic vacuum therapy used to treat both entities.

Methods

In the authors’ institution, 17 cases of anastomotic leakage and 7 cases of iatrogenic perforation due to interventional endoscopy or rigid panendoscopy with either intraluminal or intracavitary endoscopic vacuum therapy were treated.

Results

In 23 of 24 cases, the endoscopic treatment was successful. The median duration of therapy was 11 days (range, 4–46 days). All 7 cases of iatrogenic perforation and 16 of 17 anastomotic leakage cases were cured after a median therapy duration of 5 and 12 days, respectively.

Conclusions

Endoscopic vacuum therapy is applicable for a wide range of esophageal defects. In the authors’ experience, it has seemed to be the best choice for iatrogenic perforations and has been a potent supplement in the management of anastomotic leakages.

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Title: Endoscopic vacuum therapy of anastomotic leakage and iatrogenic perforation in the esophagus
Authors: Tobias Schorsch
Christian Müller
Gunnar Loske
Publication date: 01-06-2013
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 6/2013
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-012-2707-4

At a glance: The STEP trials

Springer Medicine

Endoscopic vacuum therapy of anastomotic leakage and iatrogenic perforation in the esophagus

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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