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Baryshev A.G.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1;
Kuban State Medical University

Popov A.Yu.

Ochapovsky Regional Clinic Hospital No 1

Shevchenko M.S.

Research Institute — Ochapovsky Regional Clinic Hospital No. 1

Bykov M.I.

Research Institute — Ochapovsky Regional Clinic Hospital No. 1;
Kuban State Medical University

Eskina E.N.

Kuban State Medical University

Lysov E.E.

Kuban State Medical University

Advanced endoscopic vacuum therapy for anastomotic leakage in the upper gastrointestinal tract

Authors:

Baryshev A.G., Popov A.Yu., Shevchenko M.S., Bykov M.I., Eskina E.N., Lysov E.E.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2023;(3): 14‑18

DOI: 10.17116/hirurgia202303114

Views: 1290

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Table of contents

ADVANCED ENDOSCOPIC VACUUM THERAPY FOR ANASTOMOTIC LEAKAGE IN THE UPPER GASTROINTESTINAL TRACT
ADVANCED ENDOSCOPIC VACUUM THERAPY FOR ANASTOMOTIC LEAKAGE IN THE UPPER GASTROINTESTINAL TRACT

To cite this article:

Baryshev AG, Popov AYu, Shevchenko MS, Bykov MI, Eskina EN, Lysov EE. Advanced endoscopic vacuum therapy for anastomotic leakage in the upper gastrointestinal tract. Pirogov Russian Journal of Surgery. 2023;(3):14‑18. (In Russ.)
https://doi.org/10.17116/hirurgia202303114

Подписка 2025-2 (Pirogov Russian Journal of Surgery)
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OBJECTIVE

To evaluate the effectiveness and clinical aspects of advanced endoscopic vacuum therapy for esophagogastric, esophagointestinal and gastrointestinal anastomotic leakage, to identify disadvantages and further possibilities for its improvement.

MATERIAL AND METHODS

The study included 69 people. Esophagodudodenal anastomotic leakage was detected in 34 patients (49.27%), gastroduodenal anastomotic leakage — in 30 patients (43.48%), esophagogastric anastomotic leakage — in 4 (7.25%) patients. Advanced endoscopic vacuum therapy was used for these complications.

RESULTS

Vacuum therapy in patients with esophagodudodenal anastomotic leakage led to complete healing of defect in 31 (91.18%) cases. In 4 (14.8%) cases, minor bleeding was noted during replacement of vacuum dressing. There were no other complications. Three (8.82%) patients died from secondary complications. Treatment of gastroduodenal anastomotic failure resulted complete healing of defect in 24 (80%) patients. Six (20%) patients died including 4 (66.67%) cases associated with secondary complications. Vacuum therapy for esophagogastric anastomotic leakage resulted complete healing of defect in 4 (100%) patients.

CONCLUSION

Advanced endoscopic vacuum therapy is a simple, effective and safe method of therapy for esophagogastric, esophagoduodenal and gastrointestinal anastomotic leakage.

Keywords:

endoscopic vacuum therapy
endovacuum therapy
anastomotic leakage

Authors:

Baryshev A.G.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1;
Kuban State Medical University

Popov A.Yu.

Ochapovsky Regional Clinic Hospital No 1

Shevchenko M.S.

Research Institute — Ochapovsky Regional Clinic Hospital No. 1

Bykov M.I.

Research Institute — Ochapovsky Regional Clinic Hospital No. 1;
Kuban State Medical University

Eskina E.N.

Kuban State Medical University

Lysov E.E.

Kuban State Medical University

Received:

02.07.2022

Accepted:

03.08.2022

List of references:

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  12. Kulish PA, et al. Immediate results of treatment of patients with penetrating defects of the esophageal wall by endoscopic vacuum drainage. Innovacionnaya medicina Kubani. 2016;2. (In Russ.).
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