Volume 3, Issue 11, Pages (November 2018)

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Volume 3, Issue 11, Pages 346-348 (November 2018) Endoscopic vacuum therapy for a large esophageal perforation after bariatric stent placement Diogo Turiani Hourneaux de Moura, MD, MSc, PhD, Vitor O. Brunaldi, MD, MSc, Mauricio Minata, MD, MSc, Daniel Riccioppo, PhD, Marco Aurelio Santo, MD, PhD, Eduardo Guimarães Hourneaux de Moura, MD, MSc, PhD VideoGIE Volume 3, Issue 11, Pages 346-348 (November 2018) DOI: 10.1016/j.vgie.2018.08.009 Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 Acute gastric leak identified during upper endoscopy. VideoGIE 2018 3, 346-348DOI: (10.1016/j.vgie.2018.08.009) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 Bariatric stent occluding the leak. VideoGIE 2018 3, 346-348DOI: (10.1016/j.vgie.2018.08.009) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 Larger perforation in distal esophagus identified during upper endoscopy. VideoGIE 2018 3, 346-348DOI: (10.1016/j.vgie.2018.08.009) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 4 Gastric leak identified during surgery. VideoGIE 2018 3, 346-348DOI: (10.1016/j.vgie.2018.08.009) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 5 Large esophageal perforation identified during surgery. SEMS, Self-expandable metal stent. VideoGIE 2018 3, 346-348DOI: (10.1016/j.vgie.2018.08.009) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 6 Complete dehiscence of the esophageal perforation and the mediastinal drainage. VideoGIE 2018 3, 346-348DOI: (10.1016/j.vgie.2018.08.009) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 7 Sponge vacuum system. VideoGIE 2018 3, 346-348DOI: (10.1016/j.vgie.2018.08.009) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 8 Scar after esophageal closure with endoscopic vacuum therapy. VideoGIE 2018 3, 346-348DOI: (10.1016/j.vgie.2018.08.009) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 9 Septotomy with needle-knife close to the leak in the proximal corpus. VideoGIE 2018 3, 346-348DOI: (10.1016/j.vgie.2018.08.009) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions