SUCCESSFUL CASE OF VACUUM-STENT TREATMENT FOR ANASTOMOTIC LEAKAGE AFTER IVOR LEWIS ESOPHAGECTOMY
Lisanne M. Pattynama*, Roos E. Pouw, Wietse J. Eshuis
Amsterdam UMC Locatie VUmc, Amsterdam, Noord-Holland, Netherlands
The vacuum-stent is a novel device for treatment of anastomotic leakage after esophagectomy, combining benefits of endoscopic vacuum therapy and an intraluminal stent. During vacuum-stent treatment, patients can use a soft diet.
A 66-year-old male developed anastomotic leakage after Ivor Lewis esophagectomy. Endoscopy showed a defect at the intrathoracic anastomosis, with access to the mediastinum. A vacuum-stent was placed over the defect and exchanged after one week. After a total of two weeks, it was removed and defect closure was confirmed by CT-scan with oral contrast. After three months follow-up, the patient had normal intake and no signs of stenosis.
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