Esophageal Endoscopic Vacuum Therapy with Enteral Feeding Using a Sengstaken-Blakemore Tube

Early diagnosis followed by primary repair is the best treatment for spontaneous esophageal perforation. However, the appropriate management of esophageal leakage after surgical repair is still controversial. Recently, the successful adaptation of vacuum-assisted closure therapy, which is well estab...

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Bibliographic Details
Published inThe Korean journal of thoracic and cardiovascular surgery Vol. 51; no. 1; pp. 76 - 80
Main Authors Lee, So Young, Kim, Kun Woo, Lee, Jae-Ik, Park, Dong-Kyun, Park, Kook-Yang, Park, Chul-Hyun, Son, Kuk-Hui
Format Journal Article
LanguageEnglish
Published Korea (South) The Korean Society for Thoracic and Cardiovascular Surgery 01.02.2018
Korean Society for Thoracic and Cardiovascular Surgery
Subjects
Case Report
Endoscopy
Enteral nutrition
Esophageal perforation
Sengstaken-Blakemore tube
Vacuum therapy
Sengstaken-Blakemore tube
Endoscopy
Esophageal perforation
Enteral nutrition
Vacuum therapy
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Summary:Early diagnosis followed by primary repair is the best treatment for spontaneous esophageal perforation. However, the appropriate management of esophageal leakage after surgical repair is still controversial. Recently, the successful adaptation of vacuum-assisted closure therapy, which is well established for the treatment of chronic surface wounds, has been demonstrated for esophageal perforation or leakage. Conservative treatment methods require long-term fasting with total parenteral nutrition or enteral feeding through invasive procedures, such as percutaneous endoscopic gastrostomy or a feeding jejunostomy. We report 2 cases of esophageal leakage after primary repair treated by endoscopic vacuum therapy with continuous enteral feeding using a Sengstaken-Blakemore tube.
ISSN:2233-601X
2093-6516
DOI:10.5090/kjtcs.2018.51.1.76