TY  - JOUR
T1  - Endoscopic negative pressure therapy for upper gastrointestinal leaks
T4  - Description of a fashioned device allowing simultaneous enteral feeding
LA  - English
AU  - Archid, Rami
AU  - Bazerbachi, Fateh
AU  - Thomas, Maria Cecily
AU  - Königsrainer, Alfred
AU  - Wichmann, Doerte
AB  - Endoscopic negative pressure therapy (ENPT) represents a modern and effective treatment strategy for gastrointestinal tract wall defects. The intracavitary treatment strategy is based on placing a sponge within the defect cavity (Fig. 1), whereas the intraluminal treatment approach is based on placing a drainage device within the visceral lumen overlapping the defect area (Fig. 2). These strategies complement each other and are successful treatments for gastrointestinal perforation and postoperative adverse events in the upper or lower GI tract.
An open-pore film drainage (OFD) device was first described in 2015 by Loske et al3 and has been used for several indications in the upper GI tract, urinary tract, and other sites. OFD may offer several advantages in terms of easier placement, adhesiveness to the wound base, less frequent reintervention, and better fluid mobilization. In this video (Video 1, available online at www.giejournal.org), we present the assembly and placement procedure of a fashioned OFD device that allows simultaneous enteral feeding.
DO  - 10.1016/j.vgie.2020.10.009
IS  - 2
PY  - 2021
SN  - 24684481
SP  - 58
EP  - 61
JF  - VideoGIE
ER  -