Endosc Int Open 2016; 04(09): E937-E940
DOI: 10.1055/s-0042-111078
Case report
© Georg Thieme Verlag KG Stuttgart · New York

Two-sided sponge (TSS) treatment: Description of a novel device and technique for endoscopic vacuum treatment (EVT) in the upper gastrointestinal tract

Andreas Fischer
1   University Hospital Freiburg, Interdisciplinary Gastrointestinal Endoscopy - Department of Medicine II, Freiburg, Germany
,
Robert Thimme
1   University Hospital Freiburg, Interdisciplinary Gastrointestinal Endoscopy - Department of Medicine II, Freiburg, Germany
,
Ulrich T. Hopt
2   University Hospital Freiburg - Department of General and Visceral Surgery, Freiburg, Germany
,
Hans-Jürgen Richter-Schrag
1   University Hospital Freiburg, Interdisciplinary Gastrointestinal Endoscopy - Department of Medicine II, Freiburg, Germany
› Author Affiliations
Further Information

Publication History

submitted 18 March 2016

accepted after revision 13 June 2016

Publication Date:
30 August 2016 (online)

Background and study aims: Endoscopic vacuum treatment (EVT) is increasingly used in the treatment of anastomotic leakages and perforations in the upper gastrointestinal tract. However, sponges often have to be mounted individually on a gastric tube and endoscopic introduction of the latter into an infected extraluminal cavity is challenging. In order to facilitate this procedure in some anatomical situations, we developed the prototype of a new sponge for EVT called a two-side sponge (TSS).

 
  • References

  • 1 Mennigen R, Harting C, Lindner K et al. Comparison of Endoscopic Vacuum Therapy Versus Stent for Anastomotic Leak After Esophagectomy. J Gastrointest Surg 2015; 19: 1229-1235
  • 2 Mennigen R, Senninger N, Laukoetter MG. Novel treatment options for perforations of the upper gastrointestinal tract: endoscopic vacuum therapy and over-the-scope clips. World J Gastroenterol 2014; 20: 7767-7776
  • 3 Schorsch T, Müller C, Loske G. Endoscopic vacuum therapy of anastomotic leakage and iatrogenic perforation in the esophagus. Surg Endosc 2013; 27: 2040-2045
  • 4 Fischer A, Richter-Schrag HJ, Hoeppner J et al. Endoscopic intracavitary pull-through vacuum treatment of an insufficient pancreaticogastrostomy. Endoscopy 2014; 46: E218-E219
  • 5 Schniewind B, Schafmayer C, Voehrs G et al. Endoscopic endoluminal vacuum therapy is superior to other regimens in managing anastomotic leakage after esophagectomy: a comparative retrospective study. Surg Endosc 2013; 27: 3883-3890
  • 6 Brangewitz M, Voigtländer T, Helfritz FA et al. Endoscopic closure of esophageal intrathoracic leaks: stent versus endoscopic vacuum-assisted closure, a retrospective analysis. Endoscopy 2013; 45: 433-438
  • 7 Bludau M, Hölscher AH, Herbold T et al. Management of upper intestinal leaks using an endoscopic vacuum-assisted closure system (E-VAC). Surg Endosc 2014; 28: 896-901
  • 8 Loske G, Schorsch T, Müller C. Intraluminal and intracavitary vacuum therapy for esophageal leakage: a new endoscopic minimally invasive approach. Endoscopy 2011; 43: 540-544
  • 9 Loske G, Lang U, Schorsch T et al. Complex vacuum therapy of an abdominal abscess from gastric perforation: Case report of innovative operative endoscopic management. Chirurg 2015; 86: 486-490
  • 10 Fischer A, Baier PK, Hopt UT et al. Laparoendoscopic mediastinal vacuum therapy of a gastric perforation through the diaphragm. Endoscopy 2011; 43: E393-E394
  • 11 Schorsch T, Müller C, Loske G. Pancreatico-gastric anastomotic insufficiency successfully treated with endoscopic vacuum therapy. Endoscopy 2013; 45: E141-E142
  • 12 Loske G, Strauss T, Riefel B et al. Endoscopic vacuum therapy in the management of anastomotic insufficiency after pancreaticoduodenectomy. Endoscopy 2012; 44: E94-E95
  • 13 Loske G, Schorsch T, Mueller CT. Endoscopic intraluminal vacuum therapy of duodenal perforation. Endoscopy 2010; 42: E109