Successful endoscopic vacuum therapy with new open-pore film drainage in a case of iatrogenic duodenal perforation during ERCP

Loske, Gunnar; Rucktäschel, F; Schorsch, Tobias; Ackeren, Vera van; Stark, Bettina; Müller, Christian

doi:10.1055/s-0034-1393388

Cited by 31 publications

(27 citation statements)

References 4 publications

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“…Specialized devices such as over-the-scope clipping device (OTSC) [ 27 ], endoscopic suturing (OverStitch; Apollo Endosurgery, Austin, TX, USA) [ 28 ], and open-pore film drainage [ 29 ] are reported as useful and effective for large luminal perforation.…”

Section: Endoscopic Managementmentioning

confidence: 99%

“…Another new technique is vacuum therapy with openpore film drainage, which is used for duodenal perforations that occur during ERCP [ 29 ]. The procedure consists of placing a drainage tube, which is wrapped with an open pore film, in the duodenal wall defect and application of vacuum for evacuation and collapse of the stomach and duodenum.…”

Section: Endoscopic Managementmentioning

confidence: 99%

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Recent Advanced Endoscopic Management of Endoscopic Retrograde Cholangiopancreatography Related Duodenal Perforations

Park

2016

Clin Endosc

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The management strategy for endoscopic retrograde cholangiopancreatography-related duodenal perforation can be determined based on the site and extent of injury, the patient's condition, and time to diagnosis. Most cases of perivaterian or bile duct perforation can be managed with a biliary stent or nasobiliary drainage. Duodenal wall perforations had been treated with immediate surgical repair. However, with the development of endoscopic devices and techniques, endoscopic closure has been reported to be a safe and effective treatment that uses through-the-scope clips, ligation band, fibrin glue, endoclips and endoloops, an over-the-scope clipping device, suturing devices, covering luminal stents, and open-pore film drainage. Endoscopic therapy could be instituted in selected patients in whom perforation was identified early or during the procedure. Early diagnosis, proper conservative management, and effective endoscopic closure are required for favorable outcomes of non-surgical management. If endoscopic treatment fails, or in the cases of clinical deterioration, prompt surgical management should be considered. Clin Endosc 2016;49:376-382

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Section: Endoscopic Managementmentioning

confidence: 99%

Section: Endoscopic Managementmentioning

confidence: 99%

Recent Advanced Endoscopic Management of Endoscopic Retrograde Cholangiopancreatography Related Duodenal Perforations

Park

2016

Clin Endosc

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“…We have developed a novel open-pore film drainage (OFD) system for vacuum therapy using open-pore film instead of foam. The major advantage of this system is its smaller distal diameter, making it easier to place and manipulate endoscopically 5 6 7 8 . Herein we report our first experience with these small-bore vacuum drainage devices.…”

Section: Introductionmentioning

confidence: 99%

Open-pore film drainage (OFD): a new multipurpose tool for endoscopic negative pressure therapy (ENPT)

et al. 2018

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Background and study aims Endoscopic negative pressure therapy (ENPT) has been developed to treat gastrointestinal leakages. Up to now, ENPT has usually been performed with open-pore polyurethane foam drains (OPD). A big disadvantage of the OPDs is their large diameter. We have developed a new, small-bore open-pore film drainage (OFD). Herein we report our first experience in a case series of 16 patients. Patients and methods OFD is constructed with a drainage tube and a very thin double-layered open-pore drainage film (Suprasorb CNP, Drainage Film, Lohmann & Rauscher International, Germany). The distal end of the tube is wrapped with only one layer of film. OFD is placed into the gastrointestinal leakage site with common endoscopic techniques. The tube is connected to an electronic vacuum device and continuous negative pressure of –125 mmHg applied. Results From 2013 to 2016, 16 patients were treated with the new OFD device. In 10 patients, transmural intestinal defects (4 esophageal, 4 rectum/colon, 1 duodenal, 1 pancreatic cyst) were closed with ENPT in median time of 12 days (range 3 – 34 days). Five of the 10 patients were treated solely with OFD devices. In five patients ENPT started with ODP and changed to OFD when the cavity was shrunken to a channel with a small opening. In four patients postoperative gastric reflux was eliminated for 5 to 16 days. Conclusions Small-bore OFD opens up promising new treatment options within ENPT. OFD can be used in endoscopic closure management of intestinal leakages in the upper and lower gastrointestinal tract. Gastric reflux can be eliminated in an active manner. OFD can be inserted nasally. OFD may be an adequate substitute for OPD, especially when placement of the larger OPD is difficult.

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“…Die EUT kann ebenfalls zur Behandlung duodenaler Leckagen eingesetzt werden [49][50][51][52][53][54][55][56]. Zum Erreichen des Behandlungsortes werden auch operative Zugänge (Gastrostomie, Jejunostomie) gewählt [55,56] und mit neuen endoskopischen Techniken kombiniert [19].…”

Section: Eut Am Duodenumunclassified

Endoskopische Unterdrucktherapie am oberen Gastrointestinaltrakt

Loske

2018

Chirurg

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Successful endoscopic vacuum therapy with new open-pore film drainage in a case of iatrogenic duodenal perforation during ERCP

Cited by 31 publications

References 4 publications

Recent Advanced Endoscopic Management of Endoscopic Retrograde Cholangiopancreatography Related Duodenal Perforations

Recent Advanced Endoscopic Management of Endoscopic Retrograde Cholangiopancreatography Related Duodenal Perforations

Open-pore film drainage (OFD): a new multipurpose tool for endoscopic negative pressure therapy (ENPT)

Endoskopische Unterdrucktherapie am oberen Gastrointestinaltrakt

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