Esophageal Endoscopic Vacuum Therapy with Enteral Feeding Using a Sengstaken-Blakemore Tube
10.5090/kjtcs.2018.51.1.76
- Author:
So Young LEE
1
;
Kun Woo KIM
;
Jae Ik LEE
;
Dong Kyun PARK
;
Kook Yang PARK
;
Chul Hyun PARK
;
Kuk Hui SON
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Gachon University Gil Medical Center, Korea. isee03@gilhospital.com
- Publication Type:Case Report
- Keywords:
Esophageal perforation;
Endoscopy;
Vacuum therapy;
Enteral nutrition;
Sengstaken-Blakemore tube
- MeSH:
Early Diagnosis;
Endoscopy;
Enteral Nutrition;
Esophageal Perforation;
Fasting;
Gastrostomy;
Jejunostomy;
Negative-Pressure Wound Therapy;
Parenteral Nutrition, Total;
Vacuum;
Wounds and Injuries
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2018;51(1):76-80
- CountryRepublic of Korea
- Language:English
-
Abstract:
Early diagnosis followed by primary repair is the best treatment for spontaneous esophageal perforation. However, the appropriate management of esophageal leakage after surgical repair is still controversial. Recently, the successful adaptation of vacuum-assisted closure therapy, which is well established for the treatment of chronic surface wounds, has been demonstrated for esophageal perforation or leakage. Conservative treatment methods require long-term fasting with total parenteral nutrition or enteral feeding through invasive procedures, such as percutaneous endoscopic gastrostomy or a feeding jejunostomy. We report 2 cases of esophageal leakage after primary repair treated by endoscopic vacuum therapy with continuous enteral feeding using a Sengstaken-Blakemore tube.
