Endoscopic vacuum therapy with open-pore film drainage for colonic anastomotic leakage in a morbidly obese patient.

Abstract

Endoscopic vacuum therapy (EndoVAC) is a well-established treatment for anastomotic leakage after rectal surgery and there are a variety of other possible applications [1, 2]. In the literature, there is only one case of EndoVAC being used after colon surgery, which was for treatment of an abscess [3]. We describe the first case of EndoVAC usage for a typical anastomotic leak after colon surgery that was located 30 cm from the anus and with direct connection to the abdominal cavity. A 79-year-old morbidly obese man with a carcinoma of the descending colon underwent surgery with resection of the descending colon, without a stoma being created. He also suffered from many other diseases, including diabetes mellitus and coronary heart disease. He develE-Videos