Korean J Thorac Cardiovasc Surg.  2018 Feb;51(1):76-80. 10.5090/kjtcs.2018.51.1.76.

Esophageal Endoscopic Vacuum Therapy with Enteral Feeding Using a Sengstaken-Blakemore Tube

• Lee SY
• Kim KW
• Lee JI
• Park DK
• Park KY
• Park CH
• Son KH

• KMID: 2409719
• DOI: http://doi.org/10.5090/kjtcs.2018.51.1.76

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.

Keyword

Esophageal perforation; Endoscopy; Vacuum therapy; Enteral nutrition; Sengstaken-Blakemore tube

MeSH Terms

Early Diagnosis
Endoscopy
Enteral Nutrition*
Esophageal Perforation
Fasting
Gastrostomy
Jejunostomy
Negative-Pressure Wound Therapy
Parenteral Nutrition, Total
Vacuum*
Wounds and Injuries