ENDOSCOPIC VACUUM-ASSISTED THERAPY IN THE MANAGEMENT OF POST-POEM ISCHEMIC ULCER FOLLOWED BY POSTSURGICAL ESOPHAGOGASTRIC ANASTOMOTIC LEAKAGE


Abstract:

Endoscopic therapy such as clip deployment, suturing and stenting are alternatives for the management of upper gastrointestinal leakages. Other options include management by EVAC therapy, that showed superior results over stenting, with a higher closure rate and lower mortality. Early endoscopic therapy with EVAC might avoid surgical interventions, decreasing the morbidity and mortality related to surgery that could be our first approach. Endoscopic vacuum-assisted therapy is an effective therapy in the management of postsurgical esophageal anastomotic leakage and might reduce the need of surgical intervention in patients with post-POEM esophageal leakage.

Año de publicación:

2020

Keywords:

    Fuente:

    googlegoogle

    Tipo de documento:

    Other

    Estado:

    Acceso abierto

    Áreas de conocimiento:

    • Cirugía
    • Tracto gastrointestinal

    Áreas temáticas:

    • Enfermedades
    • Cirugía y especialidades médicas afines
    • Ginecología, obstetricia, pediatría, geriatría