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

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Presentation on theme: "Eric J. Vargas, MD, Barham K. Abu Dayyeh, MD, MPH, FASGE "— Presentation transcript:

1 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 (February 2018) DOI: /j.gie Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

2 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  , DOI: ( /j.gie ) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

3 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  , DOI: ( /j.gie ) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

4 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  , DOI: ( /j.gie ) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions


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