Aortic hemorrhage following anastomotic leakage after esophagogastric surgery before and after implementation of endoscopic vacuum therapy.

ABSTRACT:

Background

Endoscopic vacuum therapy (EVT) has been established as a safe and effective treatment for anastomotic leakage. While rare, major aortic hemorrhage has been reported as a severe complication potentially associated with EVT. However, significant hemorrhages have also been observed in patients with transmural defects in the upper gastrointestinal tract, without the use of EVT. This raises questions about the role of EVT as a direct cause of aortic hemorrhage.

Methods

The objective of this study was to further investigate the incidence of major aortic hemorrhage in patients with anastomotic leakage following esophagectomy, both before and after the introduction of EVT. This case series included all patients who experienced an aortic hemorrhage after an anastomotic le

SUBMITTER: Pattynama LMD 

PROVIDER: S-EPMC12500753 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature