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Endoscopic Endoluminal Vacuum Therapy in Esophageal Perforation

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Presentation on theme: "Endoscopic Endoluminal Vacuum Therapy in Esophageal Perforation"— Presentation transcript:

1 Endoscopic Endoluminal Vacuum Therapy in Esophageal Perforation
Nils Heits, MD, Leonie Stapel, Benedikt Reichert, MD, Clemens Schafmayer, MD, Bodo Schniewind, MD, Thomas Becker, MD, Jochen Hampe, MD, Jan-Hendrik Egberts  The Annals of Thoracic Surgery  Volume 97, Issue 3, Pages (March 2014) DOI: /j.athoracsur Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Patient with perforation of the thoracic esophagus of 4 cm before endovacuum insertion (white arrow = perforation cavity). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Perforation cavity after endovacuum insertion (black arrow = perforation cavity; red arrow = suction tube; white arrow = endovacuum sponge). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Contracted perforation cavity under suction of the endovacuum (black arrow = granulation tissue; white arrow = endovacuum sponge). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Previous perforation cavity adhered after 6 endoluminal vacuum therapy sessions 18 days after the first endovacuum insertion (black arrow = healed former perforation cavity). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Length of hospital stay related to the start of endoluminal vacuum therapy (EVT); *p = The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

7 Fig 6 Infectious specific laboratory measurements of procalcitonin (PCT) during the first 2 weeks of endoluminal vacuum therapy (EVT). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

8 Fig 7 Perforation-associated complications.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions


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