Editing Oesophageal perforation (section)

=== Endoscopic vacuum therapy ===

** Described for both      oesophageal perforation and anastomotic leak after oesophagectomy
** Endoscopic placement of a      sponge to the site of perforation
** Tubing from the sponge      connected externally to a vacuum device with continuous negative pressure
** Serial endoscopies every      several days to weeks to evaluate for granulation tissue and exchange the      sponge
** Once the mucosa has      sufficiently healed, the sponge is removed and diet liberalised