Endoscopic vacuum assisted closure of esophagogastric anastomosis dehiscence: A case report

Figure 1 Gastrografin swallow showing esophagogastric leakage.

Figure 2 Gastroscopy results. A: Dehiscence of the anastomosis with 30% of the circumference; B: Anastomotic leak in the suture line; C: Endoscopic vacuum assisted closure (E-VAC) introduced into the mediastinal cavity; D: Mediastinal cavity reduced to a small and shallow like an esophageal diverticulum; E: E-VAC introduced into the lumen of the gastrointestinal tract close to the anastomotic leak; F: Follow-up gastroscopy: anastomotic stricture with shallow diverticulum.

Figure 3 Computed tomography on the third day after relaparotomy. A large amount of gas (1) and liquid (2) as a result of leakage anastomosis.

Figure 4 Endoscopic vacuum assisted closure prepared before the introduction.