Evidence map›Paper›PMID 38441680›Full record

ArticleLangenbeck's archives of surgery2024

Placing vacuum sponges in esophageal anastomotic leaks - how we do it.

Florian Hentschel, Götz Mollenhauer, Björn Siemssen, Christoph Paasch, René Mantke, Stefan Lüth

Abstract read
In one paragraph

Article in Langenbeck's archives of surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Florian HentschelBrandenburg Medical School (Theodor Fontane), Brandenburg, Germany. f.hentschel@klinikum-brandenburg.de.ORCID http://orcid.org/0000-0003-2856-3940
Götz MollenhauerBrandenburg Medical School (Theodor Fontane), Brandenburg, Germany.
Björn SiemssenKlinik für MIC, Berlin, Germany.
Christoph PaaschBrandenburg Medical School (Theodor Fontane), Brandenburg, Germany.ORCID http://orcid.org/0000-0003-3104-8288
René MantkeBrandenburg Medical School (Theodor Fontane), Brandenburg, Germany.ORCID http://orcid.org/0000-0001-5590-6019
Stefan LüthBrandenburg Medical School (Theodor Fontane), Brandenburg, Germany.ORCID http://orcid.org/0000-0001-9946-0960

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEndoluminal vacuum sponge therapy has dramatically improved the treatment of anastomotic leaks in esophageal surgery. However, the blind insertion of vacuum sponge kits like Eso-Sponge® via an overtube and a pusher can be technically difficult.

methodsWe therefore insert our sponges under direct visual control by a nonstandard "piggyback" technique that was initially developed for the self-made sponge systems preceding these commercially available kits.

resultsUsing this technique, we inserted or changed 56 Eso-Sponges® in seven patients between 2018 and 2023. Apart from one secondary sponge dislocation, no intraprocedural complications were encountered. One patient died due to unrelated reasons. In all others, the defects healed and they were dismissed from the hospital. Long-term follow-up showed three strictures that were successfully treated by dilatation.

conclusionWe conclude that sponge placement via piggyback technique is a fast, safe, and successful alternative to the standard method of insertion.

Indexed as

Anastomotic LeakConstriction, PathologicHumansVacuumAnastomotic leakEsophagogastric anastomosisEsophagusEso-Sponge®Vaccum therapy

Identifiers

PMID38441680
PMCPMC10914858

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.