Related Experiment Video
Updated: Jun 6, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
Published on: August 22, 2025
Continuous extracorporeal chyme reinfusion using the veraflo system in open abdomen with duodenostomy: a case report
Khaled Saed1, Ryan Akhavan2, Marilyn Rodriguez2
1Larkin Community Hospital, South Miami, FL, USA. drkhaledsaed@gmail.com.
Abstract:
This case report describes a novel approach to optimizing nutrition in a 47-year-old male who underwent multiple laparotomies following sulfuric acid ingestion. The resulting necrosis necessitated a total gastrectomy and subtotal jejunal resection, leaving the abdomen open and the bowel in discontinuity. The team utilized the 3 M Veraflo wound vac system to continuously draw digestive contents from the duodenum and infuse them with enteral feed via a Y-connector into the proximal ileum. While specialized chyme reinfusion devices exist, this paper highlights a unique application of the 3 M Veraflo system to circumvent disrupted anatomy and optimize recovery in a critically ill patient.
Related Concept Videos
Extracorporeal Removal of Drugs: Hemoperfusion and Hemofiltration
Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis
Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy
Esophageal Varices-II: Clinical Features and Management
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
Esophageal Varices-I: Introduction
