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SUCCESSFUL MANAGEMENT OF COMPLETE ESOPHAGOGASTRIC ANASTOMOTIC DISRUPTION USING COMBINED ENDOLUMINAL VACUUM THERAPY
Jeffrey R. Watkins*, Alexander S. Farivar , Eric Vallieres, Ralph W. Aye, Brian E. Louie
Division of Thoracic Surgery, Swedish Cancer Institute, Seattle, WA

Esophagogastric anastomotic leak is one of the most feared complications of esopaphagectomy. Treatment ranges from non-operative conservative management for small leaks to emergent surgical intervention with diverting esophagostomy for near-total disruptions. Endoluminal vacuum assisted closure (EVAC) has been described in the management of esophageal leaks, though very little exists concerning its use in complete anastomotic discontinuity. We present a patient who underwent esophagectomy and cervical esophagogastric anastamosis. The patient experienced total disruption of the cervical anastamosis and mediastinal abscess cavity with successful non-operative EVAC therapy.


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