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KMID : 0364020180510010076
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Korean Journal of Thoracic and Cardiovascular Surgery
2018 Volume.51 No. 1 p.76 ~ p.80
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Esophageal Endoscopic Vacuum Therapy with Enteral Feeding Using a Sengstaken-Blakemore Tube
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Lee So-Young
Kim Kun-Woo
Lee Jae-Ik
Park Dong-Kyun
Park Kook-Yang
Park Chul-Hyun
Son Kuk-Hui
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Abstract
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Early diagnosis followed by primary repair is the best treatment for spontaneous esophageal perforation. However, the appropriate management of esophageal leakage after surgical repair is still controversial. Recently, the successful adaptation of vacuum-assisted closure therapy, which is well established for the treatment of chronic surface wounds, has been demonstrated for esophageal perforation or leakage. Conservative treatment methods require long-term fasting with total parenteral nutrition or enteral feeding through invasive procedures, such as percutaneous endoscopic gastrostomy or a feeding jejunostomy. We report 2 cases of esophageal leakage after primary repair treated by endoscopic vacuum therapy with continuous enteral feeding using a Sengstaken-Blakemore tube.
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KEYWORD
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Esophageal perforation, Endoscopy, Vacuum therapy, Enteral nutrition, Sengstaken-Blakemore tube
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