MANAGEMENT OF LARGE IATROGENIC ESOPHAGEAL INJURY USING ENDOSCOPIC VACUUM ASSISTED CLOSURE
Loukas Stoupis*, Galen Leung, Christopher Neylan, Catherine Mavroudis, John Kucharzchuk, Jose Ruiz, Daniel A. Hashimoto
Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA
A 75-year-old woman presented with a 2cm iatrogenic esophageal perforation near the GEJ after a laparoscopic paraesophageal hernia repair, resulting in a 11x7x6cm intrathoracic abscess cavity. After an initial period of esophageal stenting, the patient underwent treatment with endoscopic vacuum assisted therapy. With twice weekly vacuum exchanges, the defect was closed after 3 weeks. The patient tolerated the procedures well, is tolerating a diet, and avoided the risks associated with major surgery.
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