Abstract

CANADAS-GARRIDO, Raúl; RAMIREZ-BARRANCO, Rosangela  and  CACERES-ESCOBAR, Daniela. Endoluminal Vacuum Therapy (EVAC) in Managing Esophagogastric Anastomosis Fistula. Rev. colomb. Gastroenterol. [online]. 2022, vol.37, n.1, pp.83-89.  Epub May 24, 2022. ISSN 0120-9957.  https://doi.org/10.22516/25007440.710.

Endoluminal vacuum therapy (EVAC) is a promising alternative for the endoscopic management of gastrointestinal fistulas or perforations that do not respond to endoscopic procedures using clips and stents or are even refractory to surgical procedures. In this case report, we describe the successful endoscopic closure of an esophagogastric anastomotic fistula using EVAC, connected to a vacuum system through a probe in the cavity, which did not close with clip management given the friability and edema of the peri-wound tissue. In conclusion, it is a successful alternative to treat these complications, which are sometimes difficult to resolve.

Keywords : Wound closure technique; endoscopy; esophageal fistula; surgical anastomosis.

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