Related Experiment Video
Updated: Jul 12, 2026
04:05
Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
Published on: August 22, 2025
Reduction of persistent air leak with endoscopic valve implants
Tudor P Toma1, Onn Min Kon, William Oldfield
1Department of Respiratory Medicine, Lewisham University Hospital, Lewisham High Street, London SE13 6LA, UK. ttoma@doctors.org.uk
Thorax
|August 30, 2007
Summary
Endobronchial valves (EBV) offer a less invasive method for managing persistent air leaks in high-risk patients. This technique shows promise as a salvage procedure when other treatments fail.
Area of Science:
- Pulmonology
- Thoracic Surgery
- Interventional Pulmonology
Background:
- Persistent bronchopleural fistula (BPF) air leaks typically require chest drainage, pleurodesis, or surgery.
- High-risk surgical candidates with BPF need less invasive treatment options.
- Emphysema treatment involves endobronchial valves (EBV), which are one-way inspiratory blockers.
Observation:
- Two cases of persistent air leaks were treated using endoscopic occlusion with EBV.
- One patient experienced complete air leak cessation and immediate clinical improvement.
- The second patient succumbed to unrelated complications, highlighting procedure risks.
Findings:
- Endobronchial valve occlusion successfully managed persistent air leaks in one high-risk patient.
- The EBV's one-way valve mechanism may facilitate air leak control while allowing secretions to drain.
- This endoscopic approach serves as a potential salvage therapy for intractable air leaks.
Implications:
- Endobronchial valves represent a viable, less invasive alternative for managing persistent air leaks in select patients.
- EBV occlusion may be a crucial option for patients ineligible for surgery.
- Further research is warranted to establish the safety and efficacy of EBV for BPF treatment.
Related Concept Videos
01:26Mitral Stenosis III: Medical Management
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
01:25Mitral Regurgitation III: Medical Management
Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
01:27Pneumothorax-II
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations: