Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Esophageal Endoscopic Vacuum Therapy with Enteral Feeding Using a Sengstaken-Blakemore Tube

  • Lee, So Young (Department of Thoracic and Cardiovascular Surgery, Gachon University Gil Medical Center) ;
  • Kim, Kun Woo (Department of Thoracic and Cardiovascular Surgery, Gachon University Gil Medical Center) ;
  • Lee, Jae-Ik (Department of Thoracic and Cardiovascular Surgery, Gachon University Gil Medical Center) ;
  • Park, Dong-Kyun (Department of Gastroenterology, Gachon University Gil Medical Center) ;
  • Park, Kook-Yang (Department of Thoracic and Cardiovascular Surgery, Gachon University Gil Medical Center) ;
  • Park, Chul-Hyun (Department of Thoracic and Cardiovascular Surgery, Gachon University Gil Medical Center) ;
  • Son, Kuk-Hui (Department of Thoracic and Cardiovascular Surgery, Gachon University Gil Medical Center)
  • Received : 2017.08.02
  • Accepted : 2017.09.18
  • Published : 2018.02.05
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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.

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References

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