E-VAC therapy as treatment of complications in gastrointestinal surgery in a gastroenterology reference center in Colombia: Case series

Authors

DOI:

https://doi.org/10.47892/rgp.2023.432.1472

Keywords:

Digestive System Fistula, Surgical Wound Dehiscence, Negative-Pressure Wound Therapy

Abstract

Gastrointestinal postoperative anastomotic leaks and fistulas occur frequently and many are managed surgically; however, endoscopic interventions have shown to improve healing outcomes and length of hospital stay. The experience of vacuum-assisted closure therapy (E-VAC) is described, in complications such as fistulas and postoperative anastomotic leaks, in a gastrointestinal reference center in Colombia. A case series study was carried out in patients with anastomotic leaks and fistulas at different levels of the digestive tract, treated by E-VAC, by the Gastroenterology Service in Colombia, during a period from February 2019 to November 2021. Sociodemographic, clinical and surgical variables were described. 6 cases are described, 4 from lower digestive tract and 2 from upper digestive tract. 83% were men; the mean age was 51.8 years (+/-17.5). The indication for E-VAC was colorectal anastomotic fistula in 66%; the most frequent anatomical location was near the anal region (66%), less frequently at the level of the cardia (16%) and esophagus (16%). The size of the defect was described between 20 and 80% in patients undergoing E-VAC therapy, with an average hospitalization length of stay of 22.5 days, with an average number of exchanges of seven per patient. Anastomotic leaks and fistulas are potentially fatal complications in gastrointestinal surgery. E-VAC therapy has shown to be effective and safe, promoting defect closure and drainage of collections present, also decreasing the length of hospital stay.

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Author Biographies

Carlos Fernando Fuentes, Departamento de Gastroenterología; Clínica Universitaria Colombia, Grupo Keralty Bogotá, Colombia.

 

 

 

Andrea Carolina Córdoba Guzmán, Fellow de Gastroenterología y Endoscopia Digestiva, Fundación Universitaria Sanitas; Clínica Universitaria Colombia, Grupo Keralty, Bogotá, Colombia.

 

 

Erlison Mauricio Daza Castro, Departamento de Gastroenterología; Clínica Universitaria Colombia, Grupo Keralty Bogotá, Colombia

 

 

Diego Aponte, Departamento de Gastroenterología, Clínica Reina Sofía; Clínica Colsanitas, Grupo Keralty, Bogotá, Colombia

 

 

Carlos González, Departamento de Gastroenterología, Clínica Reina Sofía; Clínica Colsanitas, Grupo Keralty, Bogotá, Colombia

 

 

Luis Carlos Sabbagh, Departamento de Gastroenterología, Clínica Reina Sofía; Clínica Colsanitas, Grupo Keralty, Bogotá, Colombia

 

 

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Published

06/30/2023

How to Cite

1.
Fuentes CF, Córdoba Guzmán AC, Daza Castro EM, Aponte D, González C, Sabbagh LC. E-VAC therapy as treatment of complications in gastrointestinal surgery in a gastroenterology reference center in Colombia: Case series. Rev Gastroenterol Peru [nternet]. 2023 Jun. 30 [cited 2024 Jul. 3];43(2):e1472. vailable from: https://revistagastroperu.com/index.php/rgp/article/view/1472

Issue

Vol. 43 No. 2 (2023)

Section

ARTÍCULOS ORIGINALES

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Revista de Gastroenterología del Perú by Sociedad Peruana de Gastroenterología del Perú is licensed under a Licencia Creative Commons Atribución 4.0 Internacional..


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