Intraluminal and intracavitary vacuum therapy for esophageal leakage: a new endoscopic minimally invasive approach
- PMID: 21448855
- DOI: 10.1055/s-0030-1256345
Intraluminal and intracavitary vacuum therapy for esophageal leakage: a new endoscopic minimally invasive approach
Abstract
Endoscopic treatment by placement of a vacuum sponge drainage system is a new option in the management of leakages in the digestive tract. We now distinguish between two treatment variants: the intracavitary and intraluminal techniques. A drainage system comprising an appropriately trimmed polyurethane foam sponge and a gastric-type tube is either placed through the esophageal defect into an extraluminal wound cavity (intracavitary method), or directly onto the defect with the sponge remaining within the esophageal lumen (intraluminal method). Continuous negative pressure of 125 mmHg is then applied, resulting in stabilizing of the sponge and continuous drainage and sealing of the defect. We report a case series of 14 patients, presenting the full range of possible esophageal defects that were successfully treated with either intracavitary or intraluminal vacuum therapy. Complete healing of the esophageal defect was achieved in 13 patients; one patient died due to fulminant pseudomembranous colitis while the esophageal defect was nearly healed.
© Georg Thieme Verlag KG Stuttgart · New York.
Similar articles
-
Drainage of esophageal leakage using endoscopic vacuum therapy: a prospective pilot study.Endoscopy. 2010 Sep;42(9):693-8. doi: 10.1055/s-0030-1255688. Epub 2010 Aug 30. Endoscopy. 2010. PMID: 20806153
-
[Endoscopic vacuum therapy of perforations and anastomotic insufficiency of the esophagus].Chirurg. 2014 Dec;85(12):1081-93. doi: 10.1007/s00104-014-2764-4. Chirurg. 2014. PMID: 24920346 German.
-
Endoscopic vacuum-assisted closure of upper intestinal anastomotic leaks.Gastrointest Endosc. 2008 Apr;67(4):708-11. doi: 10.1016/j.gie.2007.10.064. Gastrointest Endosc. 2008. PMID: 18374029
-
[Endoscopic vacuum therapy for Boerhaave's syndrome].Chirurg. 2016 Aug;87(8):676-82. doi: 10.1007/s00104-016-0185-2. Chirurg. 2016. PMID: 27259548 Review. German.
-
Novel treatment options for perforations of the upper gastrointestinal tract: endoscopic vacuum therapy and over-the-scope clips.World J Gastroenterol. 2014 Jun 28;20(24):7767-76. doi: 10.3748/wjg.v20.i24.7767. World J Gastroenterol. 2014. PMID: 24976714 Free PMC article. Review.
Cited by
-
Endoscopic closure of acute esophageal perforations.Curr Gastroenterol Rep. 2013 May;15(5):321. doi: 10.1007/s11894-013-0321-9. Curr Gastroenterol Rep. 2013. PMID: 23558969 Review.
-
Management of intra-thoracic anastomotic leakages after esophagectomy: updated systematic review and meta-analysis of endoscopic vacuum therapy versus stenting.BMC Surg. 2022 Aug 11;22(1):309. doi: 10.1186/s12893-022-01764-z. BMC Surg. 2022. PMID: 35953796 Free PMC article.
-
First report of urinary endoscopic vacuum therapy : For large bladder defect after abdomino-perineal excision of the rectum. Video paper.Chirurg. 2017 Jan;88(Suppl 1):42-47. doi: 10.1007/s00104-016-0318-7. Chirurg. 2017. PMID: 27981372 English.
-
Results of endoscopic vacuum-assisted closure device for treatment of upper GI leaks.Surg Endosc. 2018 Apr;32(4):1906-1914. doi: 10.1007/s00464-017-5883-4. Epub 2017 Dec 7. Surg Endosc. 2018. PMID: 29218673
-
Endoscopic Vacuum Therapy for Anastomotic Leakage After Distal Gastrectomy in a Renal Transplant Patient: A Case Study.Am J Case Rep. 2025 May 20;26:e946626. doi: 10.12659/AJCR.946626. Am J Case Rep. 2025. PMID: 40392762 Free PMC article.
MeSH terms
LinkOut - more resources
Full Text Sources
Medical