Work

Novel ASD device closure for treatment of post esophagectomy leak: a case series

Year: 2026

Type: article

Abstract: Anastomotic leaks occur in 5%-29% of patients after esophagectomy for malignancy and remain a major therapeutic challenge. Conventional options include surgical repair, diversion, endoscopic, or conservative management. A novel approach uses an atrial septal defect (ASD) closure device-originally designed for cardiac use-to seal post-esophagectomy leaks. We report four male patients who developed anastomotic leaks within 14 days after laparoscopic esophagectomy for gastroesophageal junction tumors. Standard management failed, and ASD device placement achieved successful closure in three cases, with long-term follow-up available for two. This series highlights the feasibility, safety, and efficacy of ASD devices as a minimally invasive option for refractory esophageal leaks. Although experience remains limited, these devices show promise as an alternative or adjunct to conventional methods. Further studies comparing outcomes and durability are needed to define their role in gastrointestinal leak management.

Source: Journal of Surgical Case Reports

DOI: 10.1093/jscr/rjaf1053

Authors: Nilesh Fernandopulle, Githma Wimalasena, Deedat Safeer, Randima Nanayakkara, Janaka de Silva

Institutions: National Hospital of Sri Lanka, University of Colombo, National Cancer Institute of Sri Lanka, University of Kelaniya

Language: English

Topic: Esophageal and GI Pathology

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,000