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Post a Comment Successful closure of esophagogastric anastomotic leak using endoscopic vacuum therapy
- Authors: Repin M.V.1, Trushnikov D.V.2, Tronin D.A.2, Shchetkina I.N.2, Sablin E.E.2
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Affiliations:
- Ye.A. Vagner Perm State Medical University
- Perm Regional Clinical Hospital
- Issue: Vol 42, No 1 (2025)
- Pages: 119-124
- Section: Clinical case
- URL: https://bakhtiniada.ru/PMJ/article/view/287618
- DOI: https://doi.org/10.17816/pmj421119-124
- ID: 287618
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Abstract
A clinical case of a 67-year-old female patient with esophagogastric anastomotic leakage after proximal gastrectomy for cancer of the cardiac portion is presented. The complication manifested itself as acute right-sided pleural empyema on the 12th day after the surgery. After the pleural cavity drainage and primary sanitation of the empyema, endoscopic installation of a vacuum system equipped with an open-pore sponge was chosen as a technique for closing the anastomotic defect. This system was operating for 10 days, gradually reducing the amount of the exudate discharged. There was no need to replace the drainage, since endoscopic examination revealed good regeneration in the area of the anastomotic defect. Intensive therapy, along with drainage and sanitation of sources of inflammation, ensured stabilization of the patient’s general condition and healing of the anastomosis. This clinical observation demonstrates the effectiveness of endoscopic vacuum therapy in treatment of esophageal anastomotic leaks and the prospect of its use in difficult cases associated with defects and fistulas of the gastrointestinal tract.
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##article.viewOnOriginalSite##About the authors
M. V. Repin
Ye.A. Vagner Perm State Medical University
Author for correspondence.
Email: max_repin@inbox.ru
ORCID iD: 0000-0002-0686-2619
DSc (Medicine), Professor of the Department of Surgery with a Course of Cardiovascular Surgery and Invasive Cardiology
Russian Federation, PermD. V. Trushnikov
Perm Regional Clinical Hospital
Email: max_repin@inbox.ru
ORCID iD: 0000-0002-1071-7115
Endoscopist, Chief Freelance Endoscopy Specialist of the Ministry of Health of the Perm Region
Russian Federation, PermD. A. Tronin
Perm Regional Clinical Hospital
Email: max_repin@inbox.ru
ORCID iD: 0009-0003-7733-9854
Endoscopist
Russian Federation, PermI. N. Shchetkina
Perm Regional Clinical Hospital
Email: max_repin@inbox.ru
ORCID iD: 0009-0006-3714-0615
Deputy Chief Physician for Surgery
Russian Federation, PermE. E. Sablin
Perm Regional Clinical Hospital
Email: max_repin@inbox.ru
ORCID iD: 0000-0003-4347-9106
Surgeon
Russian Federation, PermReferences
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