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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

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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

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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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