A large anastomotic leakage after esophageal surgery treated with endoluminal vacuum-assisted closure: a case report

The treatment of anastomotic post-esophagectomy leaks and fistula is challenging. Endoluminal vacuum-assisted closure (EVAC) is an emerging technique that employs negative pressure wound therapy to treat anastomotic leaks endoscopically. Esosponge is specifically designed for esophageal EVAC therapy...

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Detalles Bibliográficos
Autores principales: Mandarino, Francesco Vito, Bonura, Giuliano Francesco, Esposito, Dario, Rosati, Riccardo, Parise, Paolo, Fanti, Lorella
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7180323/
https://www.ncbi.nlm.nih.gov/pubmed/32351683
http://dx.doi.org/10.1093/jscr/rjaa071
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author Mandarino, Francesco Vito
Bonura, Giuliano Francesco
Esposito, Dario
Rosati, Riccardo
Parise, Paolo
Fanti, Lorella
author_facet Mandarino, Francesco Vito
Bonura, Giuliano Francesco
Esposito, Dario
Rosati, Riccardo
Parise, Paolo
Fanti, Lorella
author_sort Mandarino, Francesco Vito
collection PubMed
description The treatment of anastomotic post-esophagectomy leaks and fistula is challenging. Endoluminal vacuum-assisted closure (EVAC) is an emerging technique that employs negative pressure wound therapy to treat anastomotic leaks endoscopically. Esosponge is specifically designed for esophageal EVAC therapy. We report on a 49-year-old woman who underwent a totally mini-invasive Ivor–Lewis esophagectomy and developed a giant postoperative leak with a complex pleural collection, but she was not fit for surgical re-intervention. The patient healed almost completely after 14 exchange sessions of Esosponge over 35 days.
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spelling pubmed-71803232020-04-29 A large anastomotic leakage after esophageal surgery treated with endoluminal vacuum-assisted closure: a case report Mandarino, Francesco Vito Bonura, Giuliano Francesco Esposito, Dario Rosati, Riccardo Parise, Paolo Fanti, Lorella J Surg Case Rep Case Report The treatment of anastomotic post-esophagectomy leaks and fistula is challenging. Endoluminal vacuum-assisted closure (EVAC) is an emerging technique that employs negative pressure wound therapy to treat anastomotic leaks endoscopically. Esosponge is specifically designed for esophageal EVAC therapy. We report on a 49-year-old woman who underwent a totally mini-invasive Ivor–Lewis esophagectomy and developed a giant postoperative leak with a complex pleural collection, but she was not fit for surgical re-intervention. The patient healed almost completely after 14 exchange sessions of Esosponge over 35 days. Oxford University Press 2020-04-24 /pmc/articles/PMC7180323/ /pubmed/32351683 http://dx.doi.org/10.1093/jscr/rjaa071 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2020. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Mandarino, Francesco Vito
Bonura, Giuliano Francesco
Esposito, Dario
Rosati, Riccardo
Parise, Paolo
Fanti, Lorella
A large anastomotic leakage after esophageal surgery treated with endoluminal vacuum-assisted closure: a case report
title A large anastomotic leakage after esophageal surgery treated with endoluminal vacuum-assisted closure: a case report
title_full A large anastomotic leakage after esophageal surgery treated with endoluminal vacuum-assisted closure: a case report
title_fullStr A large anastomotic leakage after esophageal surgery treated with endoluminal vacuum-assisted closure: a case report
title_full_unstemmed A large anastomotic leakage after esophageal surgery treated with endoluminal vacuum-assisted closure: a case report
title_short A large anastomotic leakage after esophageal surgery treated with endoluminal vacuum-assisted closure: a case report
title_sort large anastomotic leakage after esophageal surgery treated with endoluminal vacuum-assisted closure: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7180323/
https://www.ncbi.nlm.nih.gov/pubmed/32351683
http://dx.doi.org/10.1093/jscr/rjaa071
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