UGI Stomach Duodenum-ENDOSCOPIC MANAGEMENT OF ESOPHAGOJEJUNAL ANASTOMOTIC DISRUPTION WITH ENDOLUMINAL VACUUM THERAPY AFTER TOTAL GASTRECTOMY

ENDOSCOPIC MANAGEMENT OF ESOPHAGOJEJUNAL ANASTOMOTIC DISRUPTION WITH ENDOLUMINAL VACUUM THERAPY AFTER TOTAL GASTRECTOMY

Video Transcription

Video Summary

The video presentation discusses the endoscopic management of an esophago-jejunal-anastomotic disruption after total gastrectomy, using endoluminal vacuum therapy. The patient in the case study is a 76-year-old male with a history of peptic ulcer disease who underwent total gastrectomy due to concerns of malignancy. The patient developed midline fascial dehiscence and esophago-jejunal-anastomotic leak. Initially, surgical intervention was performed, but the leak persisted. Endoscopic intervention, including exploration of abscess cavities, washing, and placement of endoluminal vacuum therapy, was successful in controlling the leak. The patient's wound and drain outputs decreased over time, and definitive closure was attempted with clips. Follow-up scans showed no extravasation, and the patient ultimately recovered without issues.<br />No specific credits were mentioned in the transcript.

Asset Subtitle

Honorable Mention

Keywords

endoscopic management

esophago-jejunal-anastomotic disruption

total gastrectomy

endoluminal vacuum therapy

patient recovery