Successful management of gastric fistulas with endoluminal vacuum therapy after a type IV hiatal hernia repair: a case report

Ricardo Nassar; Carlos Cala; Santiago Niño; Mateo Visbal; Jose G. Rodriguez; Felipe Giron

doi:10.18203/2349-2902.isj20260858

Authors

Ricardo Nassar Department of Surgery, Fundación Santa Fe de Bogotá, Bogotá D.C, Colombia
Carlos Cala Department of Surgery, Fundación Santa Fe de Bogotá, Bogotá D.C, Colombia
Santiago Niño Department of Surgery, Fundación Santa Fe de Bogotá, Bogotá D.C, Colombia
Mateo Visbal Universidad de los Andes School of Medicine, Bogotá D.C, Colombia
Jose G. Rodriguez Department of Surgery, Fundación Santa Fe de Bogotá, Bogotá D.C, Colombia
Felipe Giron Department of Surgery, Fundación Santa Fe de Bogotá, Bogotá D.C, Colombia

DOI:

https://doi.org/10.18203/2349-2902.isj20260858

Keywords:

Gastrointestinal, Endoscopic vacuum therapy, , Hiatal hernia repair, Perforation, Case report

Abstract

Endoluminal vacuum therapy (Endo-Vac) is currently part of the first line in the endoscopic management of gastrointestinal fistulas or perforations, due to its high success rates and low percentage of adverse events. We present the case of a 48-year-old man who presented with two gastric fistulas after the correction of a type IV hiatal hernia and anti-reflux surgery, which was successfully managed with endoluminal vacuum therapy without complications. Endo-Vac therapy is currently a safe and effective technique for the treatment of transmural defects in the digestive tract. However, it is necessary to develop an algorithm based on the location, size of the defect, associated stenosis, infection, and available experience to reduce complications and possible adverse events, always in conjunction with a multidisciplinary team.

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