[Therapy options for postoperative fistulas of the upper gastrointestinal tract]

The mortality of anastomotic leakage following esophageal reconstruction has been reported to be as high as 60%. For the treatment of these dehiscences the use of endoscopy is a tempting option. The standard treatment consisted of endoscopic lavage, drainage and subsequent closure of the leak by application of fibrin glue. 2 patients was tried with a novel approach permitting rapid closure by plugging the fistula with a vicryl cylinder. Endoscopic management of postoperative leaks of the upper gastrointestinal tract represents a safe and relatively gentle therapeutic option.