Applications of endoscopic vacuum therapy in the upper gastrointestinal tract

Figure 1 Intracavitary endoscopic vacuum therapy for an anastomotic leak after Ivor-Lewis esophagectomy. A: 10 mm wide Anastomotic leak; B: 6 cm deep cavity with necrotic tissue, debris, and fibrin; C: Intracavitary positioning of an EsoSponge (a nasojejunal feeding tube is visible inside the lumen to the right); D: Downsizing of the defect after the first endoscopic vacuum therapy (EVT) session; E: Clean cavity with healthy granular tissue after the first EVT session; F: Healed anastomotic leak after 4 EVT sessions.