TY  - JOUR
T1  - Endoscopic negative pressure therapy with open-pore film drainage and open-pore polyurethane sponge drainage for iatrogenic perforation of the esophagus
LA  - English
AU  - Wichmann, Dörte
AU  - Stüker, Dietmar
AU  - Schempf, Ulrike
AU  - Werner, Christoph R.
AU  - Steger, Volker
AU  - Königsrainer, Alfred
AU  - Schweizer, Ulrich
AU  - Archid, Rami
AB  - BACKGROUND
Management of iatrogenic esophageal perforation (IEP) is challenging. Endoscopic negative pressure therapy (ENPT) is an emerging and effective tool for the treatment of gastrointestinal and anastomotic leaks. We have used ENPT as first-line therapy for IEP since 2017. The aim of this study was to present our results with this strategy in patients with IEP.
METHODS
Nine patients were treated with ENPT for IEP between August 2017 and August 2019. Their treatment characteristics, including duration of therapy, strategy used, and outcomes, were analyzed. Treatment included ENPT with open-pore film drainage (OFD) and open-pore polyurethane foam drainage (OPD).
RESULTS
Early diagnosis (< 24 hours) of IEP occurred in four patients. After a mean (standard deviation) of 19.0 (13.5) days of ENPT, 6.4 (3.4) endoscopies, and 38.1 (40.3) days of hospitalization, endoscopic treatment was effective and successful in all of the patients. Additional video-assisted thoracic surgery (VATS) was done in four patients.
CONCLUSIONS
ENPT is an effective new method for the management of IEP. ENPT with OFD and OPD can be combined with minimally invasive operative methods for sepsis control in IEP.
DO  - 10.1055/a-1139-0772
IS  - 5
PY  - 2020
SP  - 377
EP  - 382
PM  - 32252093
JF  - Endoscopy
ER  -