Preemptiv Vacuum Therapy in Duodenum - a new method

Präemptive Vakuum Therapie im Duodenum - eine neue Methode




Preemptive Intraluminal Negative Pressure Therapy (PINPT) for Duodenal Resection Using a Double Lumen Open-Pore Film Drain (dOFD) – First Report of a New Method for Anastomotic Prophylaxis in Duodenum



Endoscopic negative pressure therapy in Duodenum

Here you will find case series and case reports in which I demonstrate the use of negative pressure therapy in the duodenum, including a video. I show the main techniques of drainage placement using different types of drains, including pull-through placement of drains. 

In the duodenum, lumen drainage of duodenal secretions plays a crucial role in the success of therapy. We were able to publish the first description in 2010, already. Since then, the method has become the mainstay of the management of the surgical complications of a duodenal leak at our hospital.

 

Endoscopic intraluminal vacuum therapy of duodenal perforation.


duodenal perforation caused from an operative drain
duodenal perforation caused from an operative drain


Intraluminal Vacuum Therapy – A New Endoscopic Approach in the Treatment of Duodenal Leakage

Loske G, Schorsch T, Endo heute 2010; 23: 267–269

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Video
Video


Video
Video


Picture showing two typs of drainages A: common open-pore foam drainages (OPD) with diameter of 1,5 cm; B: new open-pore film drainage (OFD) with small-bore diameter of 4-6 mm, only!
Picture showing two typs of drainages A: common open-pore foam drainages (OPD) with diameter of 1,5 cm; B: new open-pore film drainage (OFD) with small-bore diameter of 4-6 mm, only!
Video
Video


New small-bore open-pore film drainage consists out of a drain tube and a thin double layered open-pore film.
New small-bore open-pore film drainage consists out of a drain tube and a thin double layered open-pore film.


Video
Video


Video
Video


Double-layered open-pore film (oF) and open-pore polyurethanefoam (PUS). Variants of open-pore drainagetypes for ENPT in upper GI.
Double-layered open-pore film (oF) and open-pore polyurethanefoam (PUS). Variants of open-pore drainagetypes for ENPT in upper GI.


Endoskopische Unterdrucktherapie am oberen Gastrointestinaltrakt.

Loske G. Chirurg. 2018 Dec;89(12):952-959. German. doi: 10.1007/s00104-018-0728-9. PMID: 30306230.

Doppellagige offenporige Folie (oF) und offenporiger Polyurethanschaum (PUS). Unterschiedliche offenporige Drainagetypen, die für die EUT am OGI genutzt werden.
Doppellagige offenporige Folie (oF) und offenporiger Polyurethanschaum (PUS). Unterschiedliche offenporige Drainagetypen, die für die EUT am OGI genutzt werden.