STEP-BY-STEP TECHNIQUE OF ENDOSCOPIC VACUUM THERAPY (ESOSPONGE) FOR THE TREATMENT OF ESOPHAGEAL PERFORATION IN BOHERAAVE SYNDROME

A 52-year-old patient was referred for esophageal perforation after vomiting initially treated with surgery without success and thoracic drainage. Esophagogastroscopy showed a 5-cm long rupture in the lower esophageal wall, resulting in a 5 × 5 cm purulent cavity. Under endoscopic and fluoroscopic guidance, 9 sessions of Esosponge placement (11 sponges) were performed, firstly applied inside the collection and finally inside the esophageal lumen due to reduction of the perforation’s caliber. During 2 sessions double sponges were inserted simultaneously into the cavity. Final esophagogastroscopy and barium contrast radiography showed a small residual pseudodiverticulum. The patient returned to oral nutrition and fully recovered.