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Updated: Jun 10, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Published on: August 22, 2025

[Remediastinoscopy--current indications. A case report].

Ciprian Bolca¹, Ana-Maria Sasu, Adrian Istrate

¹Clinica I Chirurgie Toracică, Institutul de Pneumologie "Marius Nasta", Bucureşti. bolcaciprian@gmail.com

Pneumologia (Bucharest, Romania)

|August 11, 2010

Summary

Repeat mediastinoscopy, or remediastinoscopy, is crucial for diagnosing lung cancer when initial biopsies are inconclusive. This procedure successfully identified malignancy in a patient with enlarged mediastinal lymph nodes, avoiding more invasive surgical interventions.

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Last Updated: Jun 10, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Published on: August 22, 2025

Area of Science:

Thoracic Surgery
Oncology
Diagnostic Procedures

Background:

Mediastinoscopy is a standard procedure for staging lung cancer.
Remediastinoscopy is indicated for inadequate initial procedures, recurrent disease, or restaging after therapy.
Restaging is currently the most common reason for performing remediastinoscopy.

Observation:

A 42-year-old male presented with enlarged mediastinal lymph nodes on CT scan, showing progression from a previous scan.
The patient had undergone a prior mediastinoscopy at another institution with non-diagnostic results.
No other lesions were detected in the lung parenchyma.

Findings:

Remediastinoscopy was successfully performed in this case.
The procedure provided a definitive diagnosis, enabling appropriate treatment planning.
It successfully avoided the need for a more invasive surgical approach.

Implications:

Remediastinoscopy is a valuable tool for re-evaluating mediastinal staging when initial biopsies are non-diagnostic.
This minimally invasive procedure can guide treatment decisions in lung cancer patients.
Successful remediastinoscopy can prevent unnecessary, more extensive surgeries.