The success of Eso-SPONGE® therapy in the treatment of anastomotic dehiscence after Ivor-Lewis subtotal esophagectomy: A case report.

Int J Surg Case Rep

Thoracic Surgery Unit, Dipartment of Diagnostic and Specialty Medicine - DIMES of the Alma Mater Studiorum, University of Bologna, G.B. Morgagni - L. Pierantoni Hospital, 34 Carlo Forlanini Street, 47121 Forlì, Italy. Electronic address:

Published: November 2021

AI Article Synopsis

  • Eso-SPONGE® is an effective treatment for persistent leaks at the esophagogastric connection after subtotal esophagectomy, particularly useful in high-risk patients.
  • A case study of a 72-year-old man with esophageal adenocarcinoma demonstrated that the therapy significantly reduced inflammation and promoted healing after several sessions.
  • The therapy is easy to administer in specialized centers, making it a valuable option for managing esophageal complications post-surgery.

Article Abstract

Introduction: Eso-SPONGE® has proved to be an excellent method for the treatment of persistent dehiscence of the intrathoracic esophagogastric anastomosis during the operation of subtotal esophagectomy sec. Ivor Lewis.

Clinical Case Presentation: The case presented is of a 72-year-old patient with esophageal adenocarcinoma (ADK) who underwent sub-total esophagectomy and esophagoplasty sec. Ivor Lewis complicated by an esophageal leak. The Eso-SPONGE® therapy has been successful halving the index of inflammation after the first two sessions and generation of a neowall after seven sessions.

Discussion: Eso-SPONGE® therapy has proven to be a valuable resource as a treatment for esophageal anastomotic dehiscences because it is easily repeatable in suburban centers, provided that they have a digestive endoscopy specialized in the positioning process.

Conclusions: Eso-SPONGE® is a minimally invasive method that delivers excellent results in the treatment of fragile patients, such as those who have post-esophageal anastomotic dehiscence.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8536516PMC
http://dx.doi.org/10.1016/j.ijscr.2021.106525DOI Listing

Publication Analysis

Top Keywords

eso-sponge® therapy
12
anastomotic dehiscence
8
subtotal esophagectomy
8
success eso-sponge®
4
treatment
4
therapy treatment
4
treatment anastomotic
4
dehiscence ivor-lewis
4
ivor-lewis subtotal
4
esophagectomy case
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!