Treatment of Esophageal Perforation: Endoscopic Vacuum-Assisted Closure

Surgical repair of type C esophageal atresia (EA) with distal tracheoesophageal fistula (TEF) is complicated by an anastomotic leak in 10%-30% of cases with associated morbidity. A novel procedure in the pediatric population, endoscopic vacuum-assisted closure (EVAC), accelerates the healing of esop...

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Bibliographic Details
Published inJPGN reports Vol. 4; no. 2; p. e314
Main Authors Barnett, Grafton S, Kimsey, Kathryn M, Shieh, Hester F, Smithers, C Jason, de Vries, Jonathan M, Mouch, Jack, Wilsey, Michael
Format Journal Article
LanguageEnglish
Published United States Lippincott Williams & Wilkins, Inc 01.05.2023
Subjects
Case Report
Gastroenterology
sponge
anastomosis
hernia
pediatrics
tracheoesophageal fistula
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Summary:Surgical repair of type C esophageal atresia (EA) with distal tracheoesophageal fistula (TEF) is complicated by an anastomotic leak in 10%-30% of cases with associated morbidity. A novel procedure in the pediatric population, endoscopic vacuum-assisted closure (EVAC), accelerates the healing of esophageal leaks by using the effects of VAC therapy, including fluid removal and stimulation of granulation tissue formation. We report 2 additional cases of chronic esophageal leak treated with EVAC in EA patients. The first is a patient with a previously repaired type C EA/TEF and left congenital diaphragmatic hernia complicated by an infected diaphragmatic hernia patch erosion into the esophagus and colon. Additionally, we discuss a second case using EVAC for early anastomotic leak following type C EA/TEF repair in a patient who was later found to have a distal congenital esophageal stricture.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
content type line 23
ObjectType-Report-1
ISSN:2691-171X
2691-171X
DOI:10.1097/PG9.0000000000000314