Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Jan 16, 2020; 12(1): 42-48
Published online Jan 16, 2020. doi: 10.4253/wjge.v12.i1.42
Endoscopic vacuum assisted closure of esophagogastric anastomosis dehiscence: A case report
Jarosław Cwaliński, Jacek Hermann, Mariusz Kasprzyk, Tomasz Banasiewicz
Jarosław Cwaliński, Jacek Hermann, Tomasz Banasiewicz, Department of General and Endocrynologic Surgery and Gastroenterologic Oncology, Poznan University of Medical Sciences, Poznan 60-355, Poland
Mariusz Kasprzyk, Department of Thoracic Surgery, Poznan University of Medical Sciences, Poznan 60-355, Poland
Author contributions: All authors contributed equally to this work; Cwaliński J wrote the initial manuscript and reviewed the images; Hermann J prepared English language editing; Cwaliński J, Hermann J and Kasprzyk M performed procedures; Banasiewicz T drafted the concepts and designed the study.
Informed consent statement: The therapy described was in accordance with the principles of medical ethics and good medical practice. Patients provided informed written consent prior to all medical procedures and for the publication of this report.
Conflict-of-interest statement: Authors declare no conflict of interest regarding this manuscript.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Jarosław Cwaliński, MD, PhD, Academic Research, Doctor, Lecturer, Department of General, and Endocrynologic Surgery, and Gastroenterologic Oncology, Poznan University of Medical Sciences, Przybyszewskiego 49, Poznan 60-355, Poland. cwalinski.jaroslaw@spsk2.pl
Received: May 8, 2019
Peer-review started: May 10, 2019
First decision: May 31, 2019
Revised: September 19, 2019
Accepted: November 6, 2019
Article in press: November 6, 2019
Published online: January 16, 2020
Processing time: 223 Days and 11.1 Hours
Core Tip

Core tip: Postoperative esophagogastric leakage might be successfully treated with conservative measures either with well-established endoscopic stenting or endoscopic vacuum assisted closure with respect to the type and localization of leakage. The advantage of vacuum treatment is a continuous evacuation of septic discharge and an individual adjustment of the dressing depending on the size of the dehiscence. The application of an endoscopic vacuum dressing is relatively simple, cost-effective, easily accessible and in many cases, it avoids consecutive laparotomies.