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Updated: Aug 5, 2025

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Vacuum-Assisted Closure Treats Refractory Esophageal Leak in a Pediatric Patient
Evan K Lin1, Felicia Lee1, Jasmin Cao1
1Medical School, Saint Louis University School of Medicine, Saint Louis, USA.
Abstract:
Esophageal perforations can have iatrogenic and non-iatrogenic causes. Early identification is a predictor of good outcomes. When identified, perforations can be managed conservatively with wide drainage or repaired surgically. Endoscopic esophageal vacuum-assisted closure may be used as a definitive treatment, particularly in scenarios where conservative management and primary surgical repair fail to achieve complete healing. We present such a scenario advocating for the consideration of endoscopic esophageal vacuum-assisted closure in patients with refractory esophageal leaks.
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