Complex anastomotic leaks following esophageal resections: the new stent over sponge (SOS) approach. Issue 6 (30th November 2012)

• Record Type: Journal Article
• Authors: Gubler, C.; Schneider, P. M.; Bauerfeind, P.
• Is Part Of: Diseases of the esophagus. Volume 26:Issue 6(2013)
• Page Start: 598
• Page End: 602
• Publication Date: 2012-11-30
• Subjects: Esophagus -- Diseases -- Periodicals; 616.32
• DOI: 10.1111/dote.12005
• Languages: English
• ISSNs: 1120-8694

Abstract

<abstract abstract-type="main"> <title>Summary</title> <p>A new approach for the treatment of complicated anastomotic leaks following esophageal resections by combining vacuum‐assisted therapy with covered self‐expanding stents is reported. This is not an approach for a simple leak but a rescue maneuver for complex uncontained leaks.</p> <p>It is known that anastomotic leakages particularly situated in the chest can be successfully treated with endoscopically placed self‐expanding stents with/without additional drainage.</p> <p>If this approach fails, reoperation with substantial morbidity is frequently necessary.</p> <p>Two complicated anastomotic leakages refractory to stenting alone were successfully treated with the combination of an endo‐sponge‐assisted device covered by a self‐expanding metallic stent.</p> <p>If stent therapy fails or the perianastomotic abscess cavity is large and complex to drain from outside, the endoscopic two‐modality approach can be considered.</p> </abstract>