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Case Reports
. 2016;48 Suppl 1(Suppl 1):E154-5.
doi: 10.1055/s-0042-105364. Epub 2016 Apr 26.

Spontaneous perforation of an intramural esophageal pseudodiverticulosis treated with intraluminal endoscopic vacuum therapy using a double-lumen vacuum drainage with intestinal feeding tube

Gunnar Loske  1 , Josef Aumiller  2 , Frank Rucktäschel  2 , Tobias Schorsch  1
Affiliations
Case Reports

Spontaneous perforation of an intramural esophageal pseudodiverticulosis treated with intraluminal endoscopic vacuum therapy using a double-lumen vacuum drainage with intestinal feeding tube

Gunnar Loske et al. Endoscopy. 2016.
No abstract available

PubMed Disclaimer

Conflict of interest statement

Competing interests: G. Loske is a consultant for Lohmann & Rauscher GmbH & Co. KG.

Figures

Fig. 1
Fig. 1
Thoracic computed tomography showing perforation (P) of the esophagus with extraluminal air next to the esophagus.
Fig. 2
Fig. 2
Endoscopy revealed a long perforation in the esophagus (arrows).
Fig. 3
Fig. 3
Construction of the double-lumen vacuum drainage device. PU, polyurethane foam; S, suture; lP, lateral perforations of the gastric channel; IC, intestinal feeding channel of the tube.
Fig. 4
Fig. 4
Day 5 of endoscopic vacuum therapy. The polyurethane foam (PU) had been sucked onto the perforation wound.
Fig. 5
Fig. 5
Day 5 of endoscopic vacuum therapy. Vacuum drainage was removed, revealing the former perforation site, which showed an erosion pattern (Er).
Fig. 6
Fig. 6
At follow-up endoscopy 18 days after treatment, complete healing was achieved and an esophageal pseudodiverticulosis was found.
See this image and copyright information in PMC

References

    1. Loske G, Schorsch T, Muller C. Intraluminal and intracavitary vacuum therapy for esophageal leakage: a new endoscopic minimally invasive approach. Endoscopy. 2011;43:540–544. - PubMed
    1. Loske G, Schorsch T, Dahm C et al.Iatrogenic perforation of esophagus successfully treated with endoscopic vacuum therapy (EVT) Endosc Int Open. 2015;03:E547–E551. - PMC - PubMed

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