Experience with endoluminal vacuum therapy in the management of esophageal anastomotic leakage in newborns with esophageal atresia: A case series
Background: The management of dehiscence of esophageal anastomosis is challenging and requires a multidisciplinary approach. Endoluminal vacuum therapy (EVT) has shown promising results. Case Presentation: Herein we present the data of two cases with esophageal atresia who developed esophageal an...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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EL-Med-Pub
2023-03-01
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| Series: | Journal of Neonatal Surgery |
| Subjects: | |
| Online Access: | https://www.jneonatalsurg.com/ojs/index.php/jns/article/view/1162 |
| _version_ | 1811160148234731520 |
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| author | Carolina Santamaría-Proaño Diego Leon-Ochoa Vicente Salinas-Salinas Daniel Acosta-Bowen Daniel Acosta-Farina |
| author_facet | Carolina Santamaría-Proaño Diego Leon-Ochoa Vicente Salinas-Salinas Daniel Acosta-Bowen Daniel Acosta-Farina |
| author_sort | Carolina Santamaría-Proaño |
| collection | DOAJ |
| description |
Background: The management of dehiscence of esophageal anastomosis is challenging and requires a multidisciplinary approach. Endoluminal vacuum therapy (EVT) has shown promising results.
Case Presentation: Herein we present the data of two cases with esophageal atresia who developed esophageal anastomotic leakage, during 2021-2022, and who underwent EVT. The first case had 60% dehiscence of the anastomosis, anastomotic leak repair was performed followed by esophageal EVT placement. In the second case, the dehiscence was limited to 10%, and only esophageal EVT was provided. Within four and six days of EVT, upper gastrointestinal endoscopy and fluoroscopy were performed which showed tissue proliferation in situ and the absence of contrast leakage. Both patients were able to resume oral tolerance on the 4th day.
Conclusion: Esophageal EVT has shown promising results in the management of esophageal anastomotic leakage in newborns with esophageal atresia.
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| first_indexed | 2024-04-10T05:53:46Z |
| format | Article |
| id | doaj.art-3172ec57c203453c851a0f1feb9cac0c |
| institution | Directory Open Access Journal |
| issn | 2226-0439 |
| language | English |
| last_indexed | 2024-04-10T05:53:46Z |
| publishDate | 2023-03-01 |
| publisher | EL-Med-Pub |
| record_format | Article |
| series | Journal of Neonatal Surgery |
| spelling | doaj.art-3172ec57c203453c851a0f1feb9cac0c2023-03-04T02:45:33ZengEL-Med-PubJournal of Neonatal Surgery2226-04392023-03-011210.47338/jns.v12.1162Experience with endoluminal vacuum therapy in the management of esophageal anastomotic leakage in newborns with esophageal atresia: A case seriesCarolina Santamaría-Proaño0Diego Leon-Ochoa1Vicente Salinas-Salinas2Daniel Acosta-Bowen3Daniel Acosta-Farina4Universidad Católica Santiago de Guayaquil/ Dr. Roberto Gilbert Elizalde Children´s HospitalDr. Roberto Gilbert Elizalde Children's Hospital. Guayaquil- Ecuador.Dr. Roberto Gilbert Elizalde Children's Hospital. Guayaquil- Ecuador.PGY-1. Family Medicine. Mount Sinai, Chicago. USAHead of Pediatric Surgery at Santiago de Guayaquil Catholic University, Guayaquil- Ecuador. Background: The management of dehiscence of esophageal anastomosis is challenging and requires a multidisciplinary approach. Endoluminal vacuum therapy (EVT) has shown promising results. Case Presentation: Herein we present the data of two cases with esophageal atresia who developed esophageal anastomotic leakage, during 2021-2022, and who underwent EVT. The first case had 60% dehiscence of the anastomosis, anastomotic leak repair was performed followed by esophageal EVT placement. In the second case, the dehiscence was limited to 10%, and only esophageal EVT was provided. Within four and six days of EVT, upper gastrointestinal endoscopy and fluoroscopy were performed which showed tissue proliferation in situ and the absence of contrast leakage. Both patients were able to resume oral tolerance on the 4th day. Conclusion: Esophageal EVT has shown promising results in the management of esophageal anastomotic leakage in newborns with esophageal atresia. https://www.jneonatalsurg.com/ojs/index.php/jns/article/view/1162Esophagoplasty dehiscenceEndoluminal vacuum therapy (EVT)Esophageal atresia |
| spellingShingle | Carolina Santamaría-Proaño Diego Leon-Ochoa Vicente Salinas-Salinas Daniel Acosta-Bowen Daniel Acosta-Farina Experience with endoluminal vacuum therapy in the management of esophageal anastomotic leakage in newborns with esophageal atresia: A case series Journal of Neonatal Surgery Esophagoplasty dehiscence Endoluminal vacuum therapy (EVT) Esophageal atresia |
| title | Experience with endoluminal vacuum therapy in the management of esophageal anastomotic leakage in newborns with esophageal atresia: A case series |
| title_full | Experience with endoluminal vacuum therapy in the management of esophageal anastomotic leakage in newborns with esophageal atresia: A case series |
| title_fullStr | Experience with endoluminal vacuum therapy in the management of esophageal anastomotic leakage in newborns with esophageal atresia: A case series |
| title_full_unstemmed | Experience with endoluminal vacuum therapy in the management of esophageal anastomotic leakage in newborns with esophageal atresia: A case series |
| title_short | Experience with endoluminal vacuum therapy in the management of esophageal anastomotic leakage in newborns with esophageal atresia: A case series |
| title_sort | experience with endoluminal vacuum therapy in the management of esophageal anastomotic leakage in newborns with esophageal atresia a case series |
| topic | Esophagoplasty dehiscence Endoluminal vacuum therapy (EVT) Esophageal atresia |
| url | https://www.jneonatalsurg.com/ojs/index.php/jns/article/view/1162 |
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