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Endoluminal Suturing of an Anastomotic Leak

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1 Endoluminal Suturing of an Anastomotic Leak
Puja Gaur, MD, Calvin Lyons, MD, Tayyaba M. Malik, Min P. Kim, MD, Shanda H. Blackmon, MD, MPH  The Annals of Thoracic Surgery  Volume 99, Issue 4, Pages (April 2015) DOI: /j.athoracsur Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 OverStitch (Apollo Endosurgery, Austin, TX) closure of the anastomotic leak. The endoscopic suturing device was used endoscopically to reapproximate the two edges of the leak site (arrows point toward the metal anchor). (A) Endoscopic suturing device within the esophagus. (B) The cinch device can be seen at the arrow in the picture depicting the closed leak with the lumen in the center. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A) Endoscopic image shows the overstitch pexy of a partially covered self-expanding metal stent that was placed over the anastomosis. (B) The pexy clips are visible on the chest roentgenogram (arrow). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions


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