Endoluminal vacuum therapy of esophageal perforations

Abdulsada, Mustafa M.; Sealock, Robert J.; Cornwell, Lorraine D.; Ketwaroo, Gyanprakash A.

doi:10.1016/j.vgie.2019.10.004

Cited by 5 publications

(5 citation statements)

References 11 publications

(11 reference statements)

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“…The technique has gained prominence in the last few years particularly in th treatment of leaks after bariatric procedures. It has shown promise in the treatment o gastroesophageal junction perforations and also in Boerhaave's syndrome [22]. It is essen tially a technique that can best be described as surgical wound management initiated en doscopically.…”

Section: Endoscopic Vacuum Therapy (Evt)mentioning

confidence: 99%

Endoscopic Management of Gastric Disruptions

Oza,

Kothari

2024

Gastrointestinal Disorders

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Gastric perforations and leaks are significant complications that can arise from various gastrointestinal disorders and surgical interventions. Over the past decade, endoscopic techniques have emerged as an effective method for managing these conditions. Furthermore, as endoscopic resection techniques have grown in popularity, the risk of acute and delayed perforations has also grown. This review aims to provide an in-depth analysis of the endoscopic management strategies employed in the management of gastric perforations and leaks. We will discuss the etiology, diagnostic modalities, and various endoscopic techniques utilized, as well as emerging trends in endoscopic management. Our attempt in writing this review paper is to educate and guide clinicians in making informed decisions when faced with gastric perforations and leaks.

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Section: Endoscopic Vacuum Therapy (Evt)mentioning

confidence: 99%

Endoscopic Management of Gastric Disruptions

Oza,

Kothari

2024

Gastrointestinal Disorders

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“…Vacuum therapy was initially described in 2004 for intraluminal gastrointestinal (GI) applications by surgeons familiar with its technical aspects and effectiveness. 2 The endoscopic vacuum therapy (EVT) procedure involves affixing a piece of polyurethane sponge used in conventional wound vacuum applications to the tip of a nasogastric (NG) feeding tube. The assembled EVT device is then positioned under endoscopic guidance, either within or across the luminal defect, to fully occlude the defect.…”

Section: Endoscopic Vacuum Therapy For Treatment Of Spontaneous and I...mentioning

confidence: 99%

“…The NG tube was then attached to a commercially available vacuum device and set to the desired negative pressure, typically 150 to 175 mmHg. 2 The first case series of EVT use for anastomotic leaks after rectal resection was published in 2008. 3 In the same year, a case report of two patients demonstrated EVT success for upper GI anastomotic leaks.…”

Section: Endoscopic Vacuum Therapy For Treatment Of Spontaneous and I...mentioning

confidence: 99%

Endoscopic vacuum therapy for treatment of spontaneous and iatrogenic upper gastrointestinal defects

Panneerselvam,

Jacob,

Samuel

et al. 2023

Clin Endosc

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Background/Aims: Endoscopic vacuum therapy (EVT) can heal a variety of defects within the gastrointestinal (GI) tract via applying negative pressure, which reduces the defect size, aspirates the infected fluid, and promotes granulation tissue. Here we present our experience with EVT as it relates to both spontaneous and iatrogenic upper GI tract perforations, leaks, and fistulas.Methods: This retrospective study was conducted at four large hospital centers. All patients who underwent EVT between June 2018 and March 2021 were included. Data on multiple variables were collected, including demographics, defect size and location, number and intervals of EVT exchanges, technical success, and hospital length of stay. Student t-test and the chi-squared test were used to analyze the data.Results: Twenty patients underwent EVT. The most common defect cause was spontaneous esophageal perforation (50%). The most common defect location was the distal esophagus (55%). The success rate was 80%. Seven patients were treated with EVT as the primary closure method. The mean number of exchanges was five with a mean interval of 4.3 days between exchanges. The mean length of hospital stay was 55.8 days.Conclusions: EVT is a safe and effective initial management option for esophageal leaks and perforations.

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“…The technique has gained prominence in last few years particularly in treatment of leaks after bariatric procedures. It has shown promise in treatment of gastroesophageal junction perforations and also in Boerhaave's syndrome (22). It is essentially a technique that can best be described as surgical wound management initiated endoscopically.…”

Section: Endoscopic Vacuum Therapy (Evt)mentioning

confidence: 99%

Endoscopic Management of Gastric Disruptions

Oza,

Kothari

2023

Preprint

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Gastric perforations and leaks are significant complications that can arise from various gastrointestinal disorders and surgical interventions. Over the past decade, endoscopic techniques have emerged as effective method for managing these conditions. Furthermore, as endoscopic resection techniques have grown in popularity, the risk of acute and delayed perforations has also grown. This review aims to provide an in-depth analysis of the endoscopic management strategies employed in the management of gastric perforations and leaks. We will discuss the etiology, diagnostic modalities, and various endoscopic techniques utilized, and emerging trends in endoscopic management. Our attempt in writing this review paper is to educate and guide clinicians in making informed decisions when faced with gastric perforations and leaks.

show abstract

Endoluminal vacuum therapy of esophageal perforations

Cited by 5 publications

References 11 publications

Endoscopic Management of Gastric Disruptions

Endoscopic Management of Gastric Disruptions

Endoscopic vacuum therapy for treatment of spontaneous and iatrogenic upper gastrointestinal defects

Endoscopic Management of Gastric Disruptions

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