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Endoscopic Vacuum Therapy in the Management of Postoperative Leakage After Esophagectomy

  • Jae Hyun Jeon
  • Hyo Joon Jang
  • Ji Eun Han
  • Young Soo Park
  • Yong Won Seong
  • Sukki Cho
  • Sanghoon Jheon
  • Kwhanmien KimEmail author
Original Scientific Report
  • 9 Downloads

Abstract

Background

Postoperative leakage after esophagectomy is associated with significant life-threatening complications. Recently, endoscopic vacuum therapy (EVT) was introduced and has been successfully used as a new treatment option. The purpose of this study was to evaluate the safety and efficacy of EVT for the management of postoperative leakage after esophagectomy.

Methods

A total of 22 patients were treated with either intraluminal or intracavitary EVT for the management of postoperative leakage from May 2012 to April 2018. The location of leakage was intrathoracic in 17 patients and cervical in five patients. The outcomes of EVT were analyzed retrospectively.

Results

Complete postoperative leakage closure was achieved in 19 of 22 patients. The median duration of EVT application was 14 days (range 2–103), and a median number of three EVT systems (range 1–14) were used. In 19 patients who were successfully managed with EVT, oral feeding was possible a median of 15 days after the first day of treatment. There were no cases of mortality related to postoperative leakage.

Conclusions

EVT is a well-tolerated and effective therapeutic option for the treatment of various types of postoperative leakage after esophagectomy.

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Société Internationale de Chirurgie 2019

Authors and Affiliations

  • Jae Hyun Jeon
    • 1
  • Hyo Joon Jang
    • 2
  • Ji Eun Han
    • 1
  • Young Soo Park
    • 3
  • Yong Won Seong
    • 1
  • Sukki Cho
    • 1
  • Sanghoon Jheon
    • 1
  • Kwhanmien Kim
    • 1
    Email author
  1. 1.Department of Thoracic and Cardiovascular Surgery, Seoul National University College of MedicineSeoul National University Bundang HospitalSeongnam-siRepublic of Korea
  2. 2.Department of Thoracic and Cardiovascular SurgeryHanyang University Seoul HospitalSeoulRepublic of Korea
  3. 3.Department of Internal Medicine, Seoul National University College of MedicineSeoul National University Bundang HospitalSeongnam-siRepublic of Korea

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