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Updated: Aug 23, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
Published on: August 22, 2025
Primary endoscopic management of esophageal perforation following transesophageal echocardiogram
Marco Antonio Sobrino1, Richard Kozarek, Donald Edward Low
1Department of Surgery, Virginia Mason Medical Center, Seattle, WA 98111, USA.
Abstract:
A 90-year-old woman sustained a proximal esophageal perforation following transesophageal echocardiography. The perforation originated at the site of a Zenker's diverticulum and resulted in a false passage to the diaphragm. Initial management involved endoscopic placement of drains into the mediastinum in addition to bilateral chest drains and a gastrostomy. Following stabilization, the patient had repair of her Zenker's diverticulum and recovered uneventfully. We recommend that all procedures involving blind intubation of the esophagus should be preceded with specific pursuit of a background of cervical dysphagia.
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