Abstract
Objective of the Review: To demonstrate the efficiency of various methods of combined vacuum aspiration therapy (VAT) in a patient with an extensive defect of esophagogastric anastomosis after cancer-related cardiectomy. Key Points. Despite advances in surgery technique, advanced tools and suture materials, anastomosis suture defects in the upper part of the digestive tract are still a great concern. Prevalence of this complication is 0.5–20% of all surgery cases, with the mortality rate of 20–64%. Endoscopic vacuum therapy is a new method to manage anastomotic leaks; it boosts therapy efficiency and reduces mortality rates. This article describes a diagnostic and therapeutic algorithm for various therapy stages. Conclusion. This case of successful management of a patient with subtotal anastomosis leaks using VAT demonstrates possible uses of various methods to deliver a vacuum system to an anastomotic leak and their combinations. Keywords: vacuum aspiration therapy, esophagogastric anastomosis, anastomotic suture failure, splinting tube.
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