VAC-Stent

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Presentations

Introduction and principles

Background

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  1. Anastomotic leakage
  2. Esophageal perforations

Mechanism

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  1. Indications
  2. Mechanism
  3. Adverse events

Materials

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  1. VAC-Stent
  2. Vacuum pump

Procedures

Placement

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  1. Before placement
  2. Placement
  3. Catheter switch
  4. After placement
Preparing VAC-Stent VAC-Stent placement Connection to vacuum pump

Removal

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  1. Removal
  2. Inspection
  3. Tips & Tricks
  4. After removal
VAC-Stent removal Tips & Tricks for VAC-Stent removal

Treatment course

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  1. VAC-Stent exchanges
  2. Vacuum settings
  3. Patient care
Flushing VAC-Stent

Anastomotic leakage

Distal esophageal adenocarcinoma

  • 66-year-old male
  • Ivor Lewis esophagectomy with intrathoracic esophago-gastric anastomosis
  • Anastomotic leakage treated with VAC-Stent

Anastomotic leakage after RYGB

  • Roux-en-Y gastric bypass (RYGB)
  • Anastomotic leakage treated with VAC-Stent

Distal esophageal adenocarcinoma

  • 72-year-old male
  • Robot-assisted Ivor Lewis esophagectomy with intrathoracic esophago-gastric anastomosis
  • Anastomotic leakage treated with VAC-Stent

Esophageal perforation

Iatrogenic defect after pneumodilation

  • 81-year-old male
  • Pneumodilations for achalasia
  • Esophageal perforation treated with VAC-Stent

Boerhaave syndrome

  • 63-year-old male
  • Boerhaave syndrome
  • Treated with VAC-Sponge and VAC-Stent