Transgastric endoscopic vacuum therapy with a new open-pore film drainage device in a case of infective pancreatic necrosis

Loske, Gunnar; Schorsch, Tobias; Gobrecht, Olaf; Martens, Eckhard; Rucktäschel, F

doi:10.1055/s-0042-106576

Cited by 17 publications

(13 citation statements)

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“…In one patient, OFD was used to drain an infected pancreatic cyst after transgastric necrosectomy to shrink and collapse the persisting retro-gastral cavity 5 . A single-lumen OFD was inserted transgastrically; the cyst collapsed completely and healed after 10 days of treatment with ENPT.…”

Section: Resultsmentioning

confidence: 99%

“…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%

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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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Section: Resultsmentioning

confidence: 99%

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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“…The newest developments are tubes wrapped with fine porous films that apply the vacuum-assisted closure technique in narrow cavities [13,14].…”

Section: Special Aspects Of Endovac Therapy In the Upper Gastrointestmentioning

confidence: 99%

Anastomotic Leakage after Upper Gastrointestinal Surgery: Endoscopic Treatment

Kähler

2017

Visc Med

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Anastomotic leakages substantially influence the outcome of patients after major surgery of the upper gastrointestinal tract. Endoscopy is important for making a diagnosis and for managing anastomotic leakages. By means of endoscopic inspection of the anastomotic site, not only the size and position of dehiscences but also the blood supply of the anastomotic region and an imminent leakage can be assessed. To close anastomotic leakages, several therapeutic methods are available, i.e. stenting, clipping, and the application of glue. In the majority of cases, the endoscopic application of a sponge for permanent suction (endoscopic vacuum-assisted closure therapy) is promising.

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“…Vereinzelt wurde die EUT auchzurBehandlung infizierter Pankreaszysten eingesetzt [38,61,62]. Wallstabe et al haben diese Behandlung mit folienummantelten Schaumdrainagen vorgenommen [38], auch die kleinlumige OFD kann zielführend eingesetzt werden [62].…”

Section: Eut Am Pankreasunclassified

Endoskopische Unterdrucktherapie am oberen Gastrointestinaltrakt

Loske

2018

Chirurg

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Transgastric endoscopic vacuum therapy with a new open-pore film drainage device in a case of infective pancreatic necrosis

Cited by 17 publications

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

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

Anastomotic Leakage after Upper Gastrointestinal Surgery: Endoscopic Treatment

Endoskopische Unterdrucktherapie am oberen Gastrointestinaltrakt

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