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Treatment of Esophageal Perforation: Endoscopic Vacuum-Assisted Closure

Grafton S Barnett1, Kathryn M Kimsey1, Hester F Shieh2

  • 1From the Department of Pediatric Gastroenterology and Nutrition, Johns Hopkins All Children's Hospital, FL.

JPGN Reports
|May 18, 2023
PubMed

Insights

Endoscopic vacuum-assisted closure (EVAC) offers a novel treatment for esophageal leaks in patients with esophageal atresia (EA) and tracheoesophageal fistula (TEF). This minimally invasive technique promotes healing in complex cases, reducing associated morbidity.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Regenerative Medicine

Background:

  • Anastomotic leaks complicate 10%-30% of esophageal atresia (EA) with distal tracheoesophageal fistula (TEF) repairs, leading to significant morbidity.
  • Esophageal leaks present a challenge in pediatric surgical repair, necessitating advanced therapeutic approaches.

Keywords:
anastomosisherniapediatricsspongetracheoesophageal fistula

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