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. 2021 Oct 14;55(1):58–66. doi: 10.5946/ce.2021.099

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Copyright © 2022 Korean Society of Gastrointestinal Endoscopy

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Fig. 1. — Management of anastomotic leakage by endoluminal vacuum therapy (EVT). A 75-year-old patient with ypT3 pN1 M0 R0 Barrett’s carcinoma treated with thoracoabdominal esophagectomy after neoadjuvant chemotherapy. (A, B) An approximately 3-cm large anastomotic leakage cavity on the 10th postoperative day in which deeper fistulas could be excluded. (C, D) After EVT for 10 days, there was a clear tendency towards granulation. (E) The insufficiency cavity was significantly smaller and the EVT was completed after 14 days. (F) Endoscopic control after a total of 24 days showed an almost closed insufficiency.