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Indigenously modified endoluminal vacuum-assisted closure therapy for post-operative gastrointestinal transmural defects: Case series and review of literature.
J Minim Access Surg
November 2024
Department of General Surgery, Zen Multispeciality Hospital, Mumbai, Maharashtra, India.
A gastrointestinal (GI) transmural defect is defined as a total rupture of the GI wall and these defects can be divided into three main categories, including perforation, leaks and fistulae. Recognition of the specific classification of the defect is important for choosing the best therapeutic modality. We present a case series of patients with gastrointestinal transmural defects which were managed with indigenously modified endoluminal vacuum-assisted closure.
View Article and Find Full Text PDFEffect of Neoadjuvant Therapy on Endoluminal Vacuum-Assisted Closure Therapy (EVAC) for Anastomotic Leakage After Oesophagectomy.
Cancers (Basel)
October 2024
Universitätsmedizin Oldenburg, Carl von Ossietzky Universität Oldenburg, 26129 Oldenburg, Germany.
Background: Anastomotic leakage (AL) is a dreaded complication after oesophagectomy. Endoluminal vacuum-assisted closure therapy (EVAC) has been increasingly used as a first-line treatment for AL. We aimed to identify any potential adverse effects of a neoadjuvant therapy (chemotherapy (CT) or radiochemotherapy (RCT)) on EVAC.
View Article and Find Full Text PDFEndoluminal Vacuum Therapy as a Salvage Procedure for Difficult Anastomotic Leak Post Roux-en-Y Gastric Bypass.
Cureus
April 2024
Bariatric Surgery, Marshall University Joan C. Edwards School of Medicine, Huntington, USA.
We present a case of a woman in her 60s, with a history of a gastric sleeve resection, over 50% excess body weight loss, and subsequent severe gastroesophageal reflux disease refractory to maximal medical therapy, who underwent a conversion of a sleeve gastrectomy to a Roux-en-Y gastric bypass with hiatal hernia repair. On postoperative day five, she was evaluated at our emergency department for vomiting and inability to tolerate oral intake. Imaging revealed a large retrocardiac hiatal hernia and extraluminal contrast extravasation.
View Article and Find Full Text PDFArticle Synopsis
- Endoscopic vacuum-assisted therapy is a safer and easier way to treat holes in the esophagus compared to traditional surgery and other methods.
- In a special case, doctors used an existing feeding tube to place a vacuum sponge more easily inside a 7-year-old boy's body to help heal his esophagus.
- The boy healed well without further issues after a month, showing that this new method could make esophagus repairs simpler and less painful.
Combine Endoluminal Vacuum-Assisted Closure with Basement Membrane Graft for the Treatment of Gastrointestinal Cutaneous Fistula.
Dig Dis Sci
April 2024
Department of Gastrointestinal Surgery, Jiangyin People's Hospital Affiliated to Nantong University, Jiangyin, 214400, China.
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