Endoluminal Suturing of an Anastomotic Leak

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Presentation transcript:

Endoluminal Suturing of an Anastomotic Leak Puja Gaur, MD, Calvin Lyons, MD, Tayyaba M. Malik, Min P. Kim, MD, Shanda H. Blackmon, MD, MPH The Annals of Thoracic Surgery Volume 99, Issue 4, Pages 1430-1432 (April 2015) DOI: 10.1016/j.athoracsur.2014.01.089 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 OverStitch (Apollo Endosurgery, Austin, TX) closure of the anastomotic leak. The endoscopic suturing device was used endoscopically to reapproximate the two edges of the leak site (arrows point toward the metal anchor). (A) Endoscopic suturing device within the esophagus. (B) The cinch device can be seen at the arrow in the picture depicting the closed leak with the lumen in the center. The Annals of Thoracic Surgery 2015 99, 1430-1432DOI: (10.1016/j.athoracsur.2014.01.089) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Endoscopic image shows the overstitch pexy of a partially covered self-expanding metal stent that was placed over the anastomosis. (B) The pexy clips are visible on the chest roentgenogram (arrow). The Annals of Thoracic Surgery 2015 99, 1430-1432DOI: (10.1016/j.athoracsur.2014.01.089) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions