ENDOLUMINAL MANAGEMENT OF NEAR COMPLETE ESOPHAGOJEJUNAL ANASTOMOTIC DISRUPTION
Steve R. Siegal*, Niraj Gusani, Alexander Liu, Eric Pauli
Department of Surgery, Penn State Health Milton S. Hershey Medical Center, Hummelstown, PA
Case Presentation: A male developed an esophagojejunostomy leak after total gastrectomy.
Clinical Implications: Surgical options were challenging. Endoscopic therapy was attempted.
Endoscopic Methods: Endoscopy revealed near complete anastomotic disruption. Endoluminal vacuum therapy was initiated. Abscess cavities closed and anastomosis healed. Subsequent contrast study demonstrated no leak.
Conclusions: Endoscopic management of anastomotic disruptions is reliable technique. Though endoluminal vacuum therapy requires inpatient hospitalization, it can successfully heal abscess cavities as well as disrupted anastomoses. This endoscopic therapy avoids morbid surgical operations.
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