Terapia de vacío endoluminal (Endo-Vac) en el manejo de la fístula de anastomosis esofagogástrica

Palabras clave: Técnica de cierre de heridas, Endoscopia, Fístula esofágica, Anastomosis quirúrgica

Resumen

La terapia de vacío endoluminal (Endo-Vac) es una alternativa promisoria en el manejo endoscópico de las fístulas o perforaciones gastrointestinales, que no responden a procedimientos endoscópicos cuando se utilizan técnicas como clips, stents o incluso refractarias a procedimientos quirúrgicos. En este reporte de caso describimos el cierre endoscópico exitoso de una fístula anastomótica esofagogástrica, utilizando la terapia Endo-Vac, conectada a un sistema de vacío mediante una sonda en la cavidad, que no presentó cierre inicial a manejo con clips, dada la friabilidad y el edema del tejido perilesional. Se concluye que esta es una alternativa exitosa en el cierre de estas complicaciones, que en ocasiones son de difícil resolución.

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Biografía del autor/a

Rosangela Ramirez Barranco, Pontificia Universidad Javeriana

Médico Internista, fellow de Gastroenterología y Endoscopia Digestiva. Pontificia Universidad Javeriana, Hospital Universitario San Ignacio. Bogotá, Colombia

Raúl Antonio Cañadas Garrido, Pontificia Universidad Javeriana

Especialista en Gastroenterología y Endoscopia Digestiva. Profesor asociado de Medicina de la Pontificia Universidad Javeriana, Hospital Universitario San Ignacio. Bogotá, Colombia

Daniela Cáceres-Escobar, Hospital Universitario San Ignacio

Médico internista. Fellow en Gastroenterología y Endoscopia digestiva, Pontificia Universidad Javeriana. Bogotá. Colombia

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Figura 1. A. Esofagograma: trayecto fistuloso en la anastomosis esofagogástrica. B. Irrigación del medio de contraste, con extraluminización fuera de la pared esofágica
Publicado
2022-03-15
Cómo citar
Ramirez Barranco, R., Cañadas Garrido, R. A., & Cáceres Escobar, D. (2022). Terapia de vacío endoluminal (Endo-Vac) en el manejo de la fístula de anastomosis esofagogástrica. Revista Colombiana De Gastroenterología, 37(1), 83-89. https://doi.org/10.22516/25007440.710
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