Eric J. Vargas, MD, Barham K. Abu Dayyeh, MD, MPH, FASGE

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Presentation transcript:

Keep calm under pressure: a paradigm shift in managing postsurgical leaks Eric J. Vargas, MD, Barham K. Abu Dayyeh, MD, MPH, FASGE Gastrointestinal Endoscopy Volume 87, Issue 2, Pages 438-441 (February 2018) DOI: 10.1016/j.gie.2017.09.016 Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 Acute unorganized leak with peritoneal spread and metallic stent in place. Used with permission of Mayo Foundation for Medical Education and Research. All rights reserved. Gastrointestinal Endoscopy 2018 87, 438-441DOI: (10.1016/j.gie.2017.09.016) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 A, Organized subacute leak with 2 pigtail drains and pneumatic dilation device dilating a twisted and tight distal stomach, facilitating drainage. B, Chronic organized collection with nasocystic drain on low intermittent suction, facilitating drainage. Used with permission of Mayo Foundation for Medical Education and Research. All rights reserved. Gastrointestinal Endoscopy 2018 87, 438-441DOI: (10.1016/j.gie.2017.09.016) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 Gastropleural fistula with varying pressure gradients (A) and organized collection with percutaneous drain (B). Used with permission of Mayo Foundation for Medical Education and Research. All rights reserved. Gastrointestinal Endoscopy 2018 87, 438-441DOI: (10.1016/j.gie.2017.09.016) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions