ArticleAnnals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia2018
Primary and Rescue Endoluminal Vacuum Therapy in the Management of Esophageal Perforations and Leaks.
Article in Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed.
- Indigenously modified endoluminal vacuum-assisted closure therapy for post-operative gastrointestinal transmural defects: Case series and review of literature.Journal of minimal access surgery · 2026Article
- Application of endoscopic vacuum-assisted closure therapy for oesophageal perforation: first case report in East Africa.Journal of cardiothoracic surgery · 2026Article
- Boerhaave Syndrome-Narrative Review.Diagnostics (Basel, Switzerland) · 2025Review
- Efficacy of endoscopic vacuum therapy in esophageal luminal defects: a systematic review and meta-analysis.Clinical endoscopy · 2025Article
- Endoscopic vacuum therapy as a salvage treatment of a life-threatening esophageal perforation.Endoscopy · 2024Article
- Surgical treatment of Boerhaave syndrome in the past, present and future: updated results of a specialised surgical unit.Annals of the Royal College of Surgeons of England · 2024Article
- The perilous consequences of bowel preparation: a case study with literature review of Boerhaave syndrome.Frontiers in medicine · 2024Article
- Endoscopic vacuum therapy for treatment of spontaneous and iatrogenic upper gastrointestinal defects.Clinical endoscopy · 2023Article
- Endoscopic Vacuum Therapy of Upper Gastrointestinal Anastomotic Leaks: How to Deal with the Challenges (with Video).Life (Basel, Switzerland) · 2023Review
- Occurrence of Boerhaave's syndrome after diagnostic colonoscopy: what else can emergency physicians do?World journal of emergency medicine · 2023Article
- Don't be afraid of black holes: Vacuum sponge and vacuum stent treatment of leaks in the upper GI tract-a case series and mini-review.Frontiers in surgery · 2023Review
- Management of aero-digestive fistulas: the gastroenterologist's perspective, a narrative review.Mediastinum (Hong Kong, China) · 2023Review
- Endoscopic vacuum therapy for post-esophagectomy anastomotic dehiscence as rescue treatment: a single center case series.Esophagus : official journal of the Japan Esophageal Society · 2022Article
- Article
- Endoscopic internal drainage with double pigtail stents for upper gastrointestinal anastomotic leaks: suitable for all cases?Clinical endoscopy · 2022Article
- Minimally Invasive and Endoscopic Approach to Esophageal Perforation.The Eurasian journal of medicine · 2022Article
- Endoluminal vacuum therapy in the management of an esophago-pleural fistula as a complication of Boerhaave syndrome in a patient with eosinophilic esophagitis.BMC gastroenterology · 2021Article
- Current Status of Endoscopic Vacuum Therapy in the Management of Esophageal Perforations and Post-Operative Leaks.Clinical endoscopy · 2021Article
- [Endoscopy on the surgical intensive care unit].Der Anaesthesist · 2021Article
- Successful Late Endoscopic Stent-Grafting in a Patient with Boerhaave Syndrome.The American journal of case reports · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo investigate the efficacy of primary and rescue endoluminal vacuum (EVAC) therapy in the treatment of esophageal perforations and leaks.
methodsWe conducted a retrospective review of a prospectively gathered, Institutional Review Board (IRB) approved database of EVAC therapy patients at our center from July 2013 to September 2016.
resultsIn all, 13 patients were treated for esophageal perforations or leaks. Etiologies included iatrogenic injury (n = 8), anastomotic leak (n = 2), Boerhaave syndrome (n = 1), and bronchoesophageal fistula (n = 2). In total, 10 patients underwent primary treatment and three were treated with rescue therapy. Mean Perforation Severity Scores (PSSs) in the primary and rescue treatment groups were 7 and 10, respectively. Average defect size was 2.4 (range: 0.5-6) cm. The rescue group had a shorter mean time to defect closure (25 vs. 33 days). In all, 12 of 13 defects healed. One death occurred following the implementation of comfort care. One therapy-specific complication occurred. Hospital length of stay (LOS) was longer in the rescue group (72 vs. 53 days); however, the intensive care unit (ICU) duration was similar between groups. Totally, 10 patients (83%) resumed an oral diet after successful defect closure.
conclusionUtilized as either a primary or rescue therapy, EVAC therapy appears to be beneficial in the management of esophageal perforations or leaks.
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