A large anastomotic leakage after esophageal surgery treated with endoluminal vacuum-assisted closure: a case report | Zendy

Francesco Vito Mandarino | Zendy; Giuliano Francesco Bonura | Zendy; Dario Esposito | Zendy; Riccardo Rosati | Zendy; Paolo Parise | Zendy; Lorella Fanti | Zendy

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A large anastomotic leakage after esophageal surgery treated with endoluminal vacuum-assisted closure: a case report

Author(s) -

Francesco Vito Mandarino,

Giuliano Francesco Bonura,

Dario Esposito,

Riccardo Rosati,

Paolo Parise,

Lorella Fanti

Publication year - 2020

Publication title -

journal of surgical case reports

Language(s) - English

Resource type - Journals

ISSN - 2042-8812

DOI - 10.1093/jscr/rjaa071

Subject(s) - medicine , leak , surgery , esophagectomy , anastomosis , fistula , esophageal cancer , general surgery , cancer , environmental engineering , engineering

The treatment of anastomotic post-esophagectomy leaks and fistula is challenging. Endoluminal vacuum-assisted closure (EVAC) is an emerging technique that employs negative pressure wound therapy to treat anastomotic leaks endoscopically. Esosponge is specifically designed for esophageal EVAC therapy. We report on a 49-year-old woman who underwent a totally mini-invasive Ivor–Lewis esophagectomy and developed a giant postoperative leak with a complex pleural collection, but she was not fit for surgical re-intervention. The patient healed almost completely after 14 exchange sessions of Esosponge over 35 days.

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