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Updated: May 30, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
Published on: August 22, 2025
Amplatzer device and vacuum-assisted closure therapy to treat a thoracic empyema with bronchopleural fistula
Eliseo Passera1, Giovanni Guanella, Alberto Meroni
1Department of Thoracic Surgery, Humanitas Gavazzeni Hospital, Bergamo, Italy. eliseo.passera@gavazzeni.it
Abstract:
We present a case of lower bilobectomy complicated by a large bronchopleural fistula and empyema 1 month after primary surgery. The patient was immediately treated with an open window thoracostomy. After surgical debridement, an Amplatzer Septal Occluder device (AGA Medical Corp, Plymouth, MN) was positioned to close the fistula. Thereafter, the thoracostomy rapidly and spontaneously closed with vacuum-assisted closure therapy.
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