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“Rendezvous technique” for intraluminal vacuum therapy of anastomotic leakage of the jejunum
BACKGROUND: Anastomotic leakage (AL) is one of the most common and serious complications following visceral surgery. In recent years, endoluminal vacuum therapy has dramatically changed therapeutic options for AL, but its use has been limited to areas easily accessible by endoscope. CASE PRESENTATIO...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5069238/ https://www.ncbi.nlm.nih.gov/pubmed/27757949 http://dx.doi.org/10.1186/s40792-016-0243-5 |
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author | Krajinovic, K. Reimer, S. Kudlich, T. Germer, C. T. Wiegering, A. |
author_facet | Krajinovic, K. Reimer, S. Kudlich, T. Germer, C. T. Wiegering, A. |
author_sort | Krajinovic, K. |
collection | PubMed |
description | BACKGROUND: Anastomotic leakage (AL) is one of the most common and serious complications following visceral surgery. In recent years, endoluminal vacuum therapy has dramatically changed therapeutic options for AL, but its use has been limited to areas easily accessible by endoscope. CASE PRESENTATION: We describe the first use of endoluminal vacuum therapy in the small intestine employing a combined surgical and endoscopic “rendezvous technique” in which the surgeon assists the endoscopic placement of an endoluminal vacuum therapy sponge in the jejunum by means of a pullback string. This technique led to a completely closed AL after 27 days and 7 changes of the endosponge. CONCLUSION: The combined surgical and endoscopic rendezvous technique can be useful in cases of otherwise difficult endosponge placement. |
format | Online Article Text |
id | pubmed-5069238 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-50692382016-11-03 “Rendezvous technique” for intraluminal vacuum therapy of anastomotic leakage of the jejunum Krajinovic, K. Reimer, S. Kudlich, T. Germer, C. T. Wiegering, A. Surg Case Rep Case Report BACKGROUND: Anastomotic leakage (AL) is one of the most common and serious complications following visceral surgery. In recent years, endoluminal vacuum therapy has dramatically changed therapeutic options for AL, but its use has been limited to areas easily accessible by endoscope. CASE PRESENTATION: We describe the first use of endoluminal vacuum therapy in the small intestine employing a combined surgical and endoscopic “rendezvous technique” in which the surgeon assists the endoscopic placement of an endoluminal vacuum therapy sponge in the jejunum by means of a pullback string. This technique led to a completely closed AL after 27 days and 7 changes of the endosponge. CONCLUSION: The combined surgical and endoscopic rendezvous technique can be useful in cases of otherwise difficult endosponge placement. Springer Berlin Heidelberg 2016-10-18 /pmc/articles/PMC5069238/ /pubmed/27757949 http://dx.doi.org/10.1186/s40792-016-0243-5 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Case Report Krajinovic, K. Reimer, S. Kudlich, T. Germer, C. T. Wiegering, A. “Rendezvous technique” for intraluminal vacuum therapy of anastomotic leakage of the jejunum |
title | “Rendezvous technique” for intraluminal vacuum therapy of anastomotic leakage of the jejunum |
title_full | “Rendezvous technique” for intraluminal vacuum therapy of anastomotic leakage of the jejunum |
title_fullStr | “Rendezvous technique” for intraluminal vacuum therapy of anastomotic leakage of the jejunum |
title_full_unstemmed | “Rendezvous technique” for intraluminal vacuum therapy of anastomotic leakage of the jejunum |
title_short | “Rendezvous technique” for intraluminal vacuum therapy of anastomotic leakage of the jejunum |
title_sort | “rendezvous technique” for intraluminal vacuum therapy of anastomotic leakage of the jejunum |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5069238/ https://www.ncbi.nlm.nih.gov/pubmed/27757949 http://dx.doi.org/10.1186/s40792-016-0243-5 |
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