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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2022; 13(01): 046-049
DOI: 10.1055/s-0041-1741513
Endoscopy Video

Endoscopic Sponge Vacuum Therapy for Large Infected Esophagus Pleural Fistula

Bhushan Bhaware
1   Department of Gastroenterology, Midas Hospital, Nagpur, Maharashtra, India
,
Shrikant Mukewar
1   Department of Gastroenterology, Midas Hospital, Nagpur, Maharashtra, India
,
Ravi Daswani
1   Department of Gastroenterology, Midas Hospital, Nagpur, Maharashtra, India
,
Atul Gawande
1   Department of Gastroenterology, Midas Hospital, Nagpur, Maharashtra, India
,
Saurabh Mukewar
1   Department of Gastroenterology, Midas Hospital, Nagpur, Maharashtra, India
› Author Affiliations Funding None.
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Abstract

A 50-year-old man with hypothyroidism was diagnosed with severe pneumonia secondary to the SARS-CoV-2 virus with an HRCT CORAD score of 18/25 in September 2020. From the records, the patient appeared to have developed spontaneous esophageal perforation. In view of his poor general condition, he was treated with endoscopic sponge vacuum therapy (EVT). EVT is a novel approach for treatment for a closed cavity. Also, very few studies exist in the literature in regard to this procedure.

Keywords

endoscopic vacuum therapy - esophageal pleural fistula - endoscopic sponge - Boerhaave's syndrome


Publication History

Article published online:
25 April 2022

© 2022. Society of Gastrointestinal Endoscopy of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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