Endo-SPONGE—a new endoscopic treatment option in colonoscopy

Richterich, Jean-Pierre; Heigl, Andres; Muff, Brigitte; Luchsinger, Sylke; Gutzwiller, Jean‐Pierre

doi:10.1016/j.gie.2008.02.038

Cited by 9 publications

(5 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A total of 114 publications were found. Thirty of them, published between 2006 and 2018, were considered relevant . Four were excluded because they reported overlapping cases and only the most recent series were included .…”

Section: Resultsmentioning

confidence: 99%

“…Four were excluded because they reported overlapping cases and only the most recent series were included . Seven studies were excluded for the following reasons: a common analysis of mixed techniques , leak after right hemicolectomy , ileal pouch–anal anastomosis after interventions for inflammatory bowel disease , incomplete information , iatrogenic rectal perforation or treatment of complex perineal wounds next to the Miles procedure .…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Endoluminal negative pressure therapy in colorectal anastomotic leaks

et al. 2019

View full text Add to dashboard Cite

Aim The aim of the present work was to perform an up‐to‐date review of the literature on endoluminal negative pressure therapy for colorectal anastomotic leak. Method An electronic search in PubMed and Google Scholar and a manual search without language restrictions were performed on 25 January 2019. Only original series reporting endoluminal negative pressure therapy in colorectal anastomotic leaks were included. The primary outcome was the success rate (complete closure of the abscess cavity). The secondary outcomes were the rates of complications and stoma closure. Results Nineteen series with a total of 295 cases were analysed. The median distance of the anastomosis from the anal verge and the size of the abscess were 5.65 cm (4.9–10) and 6.0 cm (5–8.1) respectively. In 84.5% (78%–91%) the stoma was created at the first intervention. Neoadjuvant therapy was performed in 48.6% (3%–60%). Median 7 sponges (2–34) were used with median negative pressure 150 mmHg (125–700) for a median of 31 days (14–127). The success rate was 85.4% (80%–91%) with ileostomy closure in 72.6%. Complications were observed in 19% (13%–25%): abscesses 11.5% and anastomotic stenosis 4.4%. Laparotomy was required in 15% of the complications. The stoma was the only significant predictor for the success of the therapy (0.007, SE 0.004, P = 0.040). Conclusions The initial experience looks promising with an 85% success rate, which precludes risky re‐resections with redo anastomosis or Hartmann's procedure. Despite the good initial results, definitive conclusions cannot be drawn because of the small sample size and the lack of high‐quality comparative studies.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Endoluminal negative pressure therapy in colorectal anastomotic leaks

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Surgical drains commonly are used after procedures on the thyroid, 2 breast, 7 and axillary area as well as after abdominal procedures and joint replacements 8,9 . Vacuum drains may be used to drain perirectal wounds, 10 and certain special vacuum drains (ie, endoluminal) are available to treat anastomotic leaks that may occur after intestinal resection and anastomosis 11,12 …”

Section: Use Of Drainsmentioning

confidence: 99%

Surgical Vacuum Drains: Types, Uses, and Complications

Durai¹,

Ng²

2010

AORN Journal

View full text Add to dashboard Cite

High- and low-pressure vacuum drains are commonly used after surgical procedures. High-pressure vacuum drains (ie, sealed, closed-circuit systems) are efficient and allow for easy monitoring and safe disposal of the drainage. Low-pressure vacuum drains use gentle pressure to evacuate excess fluid and air, and are easy for patients to manage at home because it is easy to reinstate the vacuum pressure. Perioperative nurses should be able to identify the various types of commonly used drains and their surgical applications. Nurses should know how to care for drains, how to reinstate the vacuum pressure when necessary, and the potential complications that could result from surgical drain use.

show abstract

“…Duration of E-VAC therapy was 9 days, and through this time the endo-sponge was installed only once. The final result was excellent, and the patient tolerated therapy without any complications or side affects [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic vacuum-assisted closure system (E-VAC): case report and review of the literature.

Borejsza-Wysocki¹,

Szmyt²,

Bobkiewicz³

et al. 2015

Videosurgery and Other Miniinvasive Techniques

View full text Add to dashboard Cite

Negative pressure wound therapy (NPWT) has become a standard in the treatment of chronic and difficult healing wounds. Negative pressure wound therapy is applied to the wound via a special vacuum-sealed sponge. Nowadays, the endoscopic vacuum-assisted wound closure system (E-VAC) has been proven to be an important alternative in patients with upper and lower intestinal leakage not responding to standard endoscopic and/or surgical treatment procedures. Endoscopic vacuum-assisted wound closure system provides perfect wound drainage and closure of various kinds of defect and promotes tissue granulation. Our experience has shown that E-VAC may significantly improve the morbidity and mortality rate. Moreover, E-VAC may be useful in a multidisciplinary approach – from upper gastrointestinal to rectal surgery complications. On the other hand, major limitations of the E-VAC system are the necessity of repeated endoscopic interventions and constant presence of well-trained staff. Further, large-cohort studies need to be performed to establish the applicability and effectiveness of E-VAC before routine widespread use can be recommended.

show abstract

Endo-SPONGE—a new endoscopic treatment option in colonoscopy

Cited by 9 publications

References 18 publications

Endoluminal negative pressure therapy in colorectal anastomotic leaks

Endoluminal negative pressure therapy in colorectal anastomotic leaks

Surgical Vacuum Drains: Types, Uses, and Complications

Endoscopic vacuum-assisted closure system (E-VAC): case report and review of the literature.

Contact Info

Product

Resources

About