Skip Navigation
Skip to contents

Clin Endosc : Clinical Endoscopy

OPEN ACCESS

Author index

Page Path
HOME > Browse Articles > Author index
Search
Sotiris Mastoridis 1 Article
Current Status of Endoscopic Vacuum Therapy in the Management of Esophageal Perforations and Post-Operative Leaks
Imogen Livingstone, Lily Pollock, Bruno Sgromo, Sotiris Mastoridis
Clin Endosc 2021;54(6):787-797.   Published online November 16, 2021
DOI: https://doi.org/10.5946/ce.2021.240
AbstractAbstract PDFPubReaderePub
Esophageal wall defects, including perforations and postoperative leaks, are associated with high morbidity and mortality and pose a significant management challenge. In light of the high morbidity of surgical management or revision, in recent years, endoscopic vacuum therapy (EVT) has emerged as a novel alternative treatment strategy. EVT involves transoral endoscopic placement of a polyurethane sponge connected to an externalized nasogastric tube to provide continuous negative pressure with the intention of promoting defect healing, facilitating cavity drainage, and ameliorating sepsis. In the last decade, EVT has become increasingly adopted in the management of a diverse spectrum of esophageal defects. Its popularity has been attributed in part to the growing body of evidence suggesting superior outcomes and defect closure rates in excess of 80%. This growing body of evidence, coupled with the ongoing evolution of the technology and techniques of deployment, suggests that the utilization of EVT has become increasingly widespread. Here, we aimed to review the current status of the field, addressing the mechanism of action, indications, technique methodology, efficacy, safety, and practical considerations of EVT implementation. We also sought to highlight future directions for the use of EVT in esophageal wall defects.

Citations

Citations to this article as recorded by  
  • Multi-modality management of defects in the gastrointestinal tract: Where the endoscope meets the scalpel: Endoscopic vacuum therapy in the upper gastrointestinal tract
    Lisanne M.D. Pattynama, Wietse J. Eshuis, Stefan Seewald, Roos E. Pouw
    Best Practice & Research Clinical Gastroenterology.2024; : 101901.     CrossRef
  • Management of esophageal anastomotic leaks, a systematic review and network meta-analysis
    William Murray, Mathew G Davey, William Robb, Noel E Donlon
    Diseases of the Esophagus.2024;[Epub]     CrossRef
  • Management of an Aortoesophageal Fistula With Esophageal Endoluminal Wound Vacuum Therapy
    Antoine Nehme, Samuel Brown, Salman Zaheer, Alexander Leung
    Annals of Thoracic Surgery Short Reports.2024;[Epub]     CrossRef
  • Treatment of Esophageal-Pleural Fistula After Diverticulectomy Using Transluminal Vacuum Therapy in a Patient with HIV Infection
    M. A. Panasyuk, G. Yu. Aldaranov, V. N. Makhutov, E. G. Grigoriev
    Russian Sklifosovsky Journal "Emergency Medical Care".2024; 13(1): 156.     CrossRef
  • Successful Endoscopic Vacuum-Assisted Closure Therapy for Esophageal Perforation: A Case Report
    Jung Huh, Jinsun Yang, Seung Joo Kang, Hyoun Woo Kang, Hyeon Jong Moon, Su Hwan Kim, Bokyung Kim, Ji Won Kim, Kook Lae Lee, Yong Won Seong, Kwang Woo Kim
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2024; 24(2): 187.     CrossRef
  • VAC-Stent in the Treatment of Post-Esophagectomy Anastomotic Leaks: A New “Kid on the Block” Who Marries the Best of Old Techniques—A Review
    Giuseppe Dell’Anna, Lorella Fanti, Jacopo Fanizza, Rukaia Barà, Alberto Barchi, Ernesto Fasulo, Ugo Elmore, Riccardo Rosati, Vito Annese, Liboria Laterza, Lorenzo Fuccio, Francesco Azzolini, Silvio Danese, Francesco Vito Mandarino
    Journal of Clinical Medicine.2024; 13(13): 3805.     CrossRef
  • Homemade endoscopic vacuum therapy device for the management of transmural gastrointestinal defects
    Diogo Turiani Hourneaux de Moura, Bruno Salomão Hirsch, Thomas R. McCarty, Marcos Eduardo Lera dos Santos, Hugo Gonçalo Guedes, Guilherme Francisco Gomes, Flaubert Sena de Medeiros, Eduardo Guimarães Hourneaux de Moura
    Digestive Endoscopy.2023; 35(6): 745.     CrossRef
  • Choosing the best endoscopic approach for post-bariatric surgical leaks and fistulas: Basic principles and recommendations
    Victor Lira de Oliveira, Alexandre Moraes Bestetti, Roberto Paolo Trasolini, Eduardo Guimarães Hourneaux de Moura, Diogo Turiani Hourneaux de Moura
    World Journal of Gastroenterology.2023; 29(7): 1173.     CrossRef
  • Vacuum-Assisted Closure Treats Refractory Esophageal Leak in a Pediatric Patient
    Evan K Lin, Felicia Lee, Jasmin Cao, Christian Saliba, Vivian Lu, Raymond I Okeke, Justin Sobrino, Christopher Blewett
    Cureus.2023;[Epub]     CrossRef
  • Esophageal Perforation
    Kelly Fairbairn, Stephanie G. Worrell
    Thoracic Surgery Clinics.2023; 33(2): 117.     CrossRef
  • Endoscopic Treatment of Non-malignant Esophageal Perforation: Time to Go Vacuum?
    Diogo Turiani Hourneaux de Moura, Bruno Salomão Hirsch, Heli Clóvis de Medeiros Neto, Victor Lira de Oliveira, Alexandre Moraes Bestetti, Bruna Furia Buzetti Hourneaux de Moura, Mouen A. Khashab, Eduardo Guimarães Hourneaux de Moura
    Current Treatment Options in Gastroenterology.2023; 21(2): 95.     CrossRef
  • Prophylactic endoluminal vacuum therapy after major gastrointestinal surgery: a systematic review
    Olga Adamenko, Carlo Ferrari, Stefan Seewald, Jan Schmidt
    Updates in Surgery.2022; 74(4): 1177.     CrossRef
  • Endoscopic Management of Esophageal Cancer
    Christopher Paiji, Alireza Sedarat
    Cancers.2022; 14(15): 3583.     CrossRef
  • 4,755 View
  • 252 Download
  • 7 Web of Science
  • 13 Crossref
Close layer

Clin Endosc : Clinical Endoscopy Twitter Facebook
Close layer
TOP