UGI Esophagus-ENDOVACUUM THERAPY - TWO METHODS OF SUCCESSFUL ENDOSPONGE PLACEMENT FOR TREATMENT OF ANASTOMOTIC LEAK IN THE UPPER GASTROINTESTINAL TRACT

ENDOVACUUM THERAPY - TWO METHODS OF SUCCESSFUL ENDOSPONGE PLACEMENT FOR TREATMENT OF ANASTOMOTIC LEAK IN THE UPPER GASTROINTESTINAL TRACT

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Video Transcription

Video Summary

The video discusses endovacuum therapy and presents two methods for successfully placing endosponges to treat anastomotic leaks in the upper gastrointestinal tract. A 74-year-old man with a history of esophageal adenocarcinoma underwent robot-assisted esophagectomy with gastric conduit and developed a complicated post-operative course with a leak. Non-surgical management was chosen, and the procedure involved cutting a hole in the sponge to create a passage for a nasogastric tube, securing the tube to the sponge with sutures, and inserting the sponge into the cavity using an endoscope and guide wire. The second method involves using an overtube for insertion. The endosponge is replaced every three to four days, and vacuum therapy promotes healing in the cavity. The patient experienced successful closure of the cavity and no recurrence of the lesion. Endovacuum therapy can effectively treat anastomotic lesions using the demonstrated methods of endosponge placement. No credits were mentioned in the video.

Asset Subtitle

Video Plenary - Authors: Mihajlo Gjeorgjievski, Romy Bareket, Savan Kabaria, Abdelhai Abdelqader, Abhishek Bhurwal, Haroon M. Shahid, Avik Sarkar, Amy Tyberg, Michel Kahaleh

Keywords

endovacuum therapy

endosponge placement

anastomotic leaks

upper gastrointestinal tract

vacuum therapy