GI Now for Group Practice-MANAGEMENT OF A HUGE INFECTED ESOPHAGEAL DEFECT POST SUBMUCOSAL TUNNELLING ENDOSCOPIC RESECTION (STER) USING ENDOSCOPIC VACUUM THERAPY EVT

MANAGEMENT OF A HUGE INFECTED ESOPHAGEAL DEFECT POST SUBMUCOSAL TUNNELLING ENDOSCOPIC RESECTION (STER) USING ENDOSCOPIC VACUUM THERAPY EVT

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Video Transcription

Video Summary

This video transcript describes a case study of a patient with a large esophageal tumor who underwent submucosal tunnel endoscopic resection (STIR) instead of the originally planned endoscopic submucosal dissection (ESD). During the procedure, multiple complications occurred, including an infected esophageal defect. To manage this, a handmade modified endovacuum therapy was used, resulting in significant improvement after 24 hours. The endovacuum was exchanged every 5 to 7 days, and the defect gradually decreased in size with no signs of infection. Mucosectomy and further endovacuum therapy were performed to completely seal the defect, showing success in treating large esophageal defects, especially in low-resources settings. No credits were mentioned. (Word count: 112)

Asset Subtitle

Honorable Mention

Keywords

esophageal tumor

submucosal tunnel endoscopic resection

endoscopic submucosal dissection

infected esophageal defect

endovacuum therapy