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Post-POEM Esophageal Leak Successfully Managed With Endoscopic Vacuum Therapy

Year: 2026

Type: article

Abstract: Esophageal leak is a well-described complication of endoscopic peroral endoscopic myotomy (POEM). Although various endoscopic techniques exist for managing mucosal defects, their efficacy is not universal, and successful closure is not guaranteed. The endoscopic vacuum therapy (EVT, EndoVAC) has been implemented in the management of mucosal defects. We hereby present a 46-year-old man who developed a persistent esophageal leak after POEM, which was successfully managed with the EndoVAC following multiple unsuccessful closure attempts using conventional methods.

Source: ACG Case Reports Journal

DOI: 10.14309/crj.0000000000002067

Authors: Mohamed Elshennawy, Sultan Mahmood

Institutions: Theodor Bilharz Research Institute, University of Pittsburgh, University of Pittsburgh Medical Center

Language: English

Topic: Esophageal and GI Pathology

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W7150832737

FWCI:

Cites: 9

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