Management of Esophago-Gastric Anastomotic Leak with Endoscopic Vacuum Therapy- A Case Report and Review of Literature

Abstract

Transmural defects of the upper gastrointestinal (UGI) tract can be either leaks, perforations or fistulae. Endoscopic vac is a good option for management for localized leaks where stent placement is not feasible. We present a case of a 31-year-old lady who was operated for strangulated Bochdalek hernia with partial gastrectomy with esophago-gastric anastomosis. She then underwent 2 sittings of endo vac placement for management of an anastomotic leak with mediastinitis. She was followed up on outpatient basis with imaging and interval endoscopies. Post 6 months of the procedure, patient is well and is on full oral feeds.