Tinoco LVH, Silis CJC, Zavala CJC, López PRY, Hernández FJC

Language: Spanish
References: 16
Page: 104-112
PDF size: 439.92 Kb.

ABSTRACT

Introduction: Digestive tract perforations are complications with a high mortality rate due to their management, which is mostly surgical, involving procedures requiring trained healthcare personnel. In recent decades, the use of endoscopic negative pressure therapy has been proposed for the management of digestive tract perforations due to its high success rate. Objectives: To describe a case series of patients managed with endoscopic negative pressure therapy at different levels of the digestive tract, as well as variations in the technique used. Material and methods: A retrospective study was conducted that included 11 patient records treated with endoscopic negative pressure therapy placement for different digestive tract perforations. Success with endoscopic negative pressure therapy was defined as 100% closure of the perforation. Likewise, the methods described in the clinical records for the placement and replacement of endoscopic negative pressure therapy inserts were compiled. Results: 81.82% (9/11) presented a 100% closure of the gastrointestinal perforation site to be treated with this method,18.18% (2 patients) 1 was used as a bridge therapy and the last one did not complete treatment, sponge removal was on average at 20 ± 7.21 days (5-31). All patients received treatment with endoscopic control and first sponge change averaged 7.9 ± 2.99 days (5-15). Those patients who required a second sponge change, control was carried out at seven days (9-23). Conclusions: The use of endoscopic negative pressure therapy as definitive therapy or bridge therapy for the closure of perforations of the upper and lower gastrointestinal tract presented a higher success rate than that reported with traditional methods such as the use of stents and fewer complications associated with the procedure.

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