OGC P34 Endoscopy vacuum therapy for anastomotic leak after oesophagectomy – A single centre's experience

Abstract Background Anastomotic leak is one of the major complications following oesophagectomy and associated with a prolonged ICU hospital stay high mortality. Over years, endoscopic vacuum therapy (EVT) has an evolving role in managing anastomotic leak. The aim this study was evaluate our experience use EVT Methods A retrospective analysis conducted patients who underwent elective at tertiary centre from May 2021 to April 2022. Patient demographics, complication profiles, length (LOS) survival outcomes were collected. details procedure, results, adverse events evaluated. Endo-SPONGE® by B Braun Medical Ltd used centre. Results last 12 months, 3 out 11 (27.3%) had treated EVT. All males diagnosed on Day 8, 9, 9. Two stent time diagnosis management changed Endo-Sponge subsequent endoscopy as defect increased size. They required 8 times sponge exchange respectively. One patient managed 7 exchange. successful healing rate 100% none them further or surgical interventions. median changing interval sponges days (range 2–5 days). average 6 times. duration 25 18–29 No other occurred during LOS 49.3 days. Conclusions effective safe treatment option post for oesophageal cancer. With careful selection, can be considered first-line instead surgery. Future studies involving greater number are essential efficacy