ENDOSCOPIC VACUUM-ASSISTED THERAPY IN THE MANAGEMENT OF POST-POEM ISCHEMIC ULCER FOLLOWED BY POSTSURGICAL ESOPHAGOGASTRIC ANASTOMOTIC LEAKAGE

Endoscopic therapy such as clip deployment, suturing and stenting are alternatives for the management of upper gastrointestinal leakages. Other options include management by EVAC therapy, that showed superior results over stenting, with a higher closure rate and lower mortality.

Early endoscopic therapy with EVAC might avoid surgical interventions, decreasing the morbidity and mortality related to surgery that could be our first approach. Endoscopic vacuum-assisted therapy is an effective therapy in the management of postsurgical esophageal anastomotic leakage and might reduce the need of surgical intervention in patients with post-POEM esophageal leakage.