This international, prospective and multicenter registry was designed to collect clinical evidence for the endoscopic vacuum treatment using Eso-SPONGE® for anastomotic leakage after esophageal resection or iatrogenic or spontaneous esophageal perforation.
Anastomotic Leakages or other defects in the upper gastrointestinal tract can have serious consequences for the affected patients. Different parameters, like the size, location, time to diagnosis of the lesion, but also the general condition of the patient, have a significant influence on the clinical outcome of the patient. Often this situation is accompanied by symptoms of sepsis and a significant morbidity rate with corresponding substantial mortality rate. For this reason the treatment of this clinical situation is often a challenge for the clinician. Besides surgical examination and the endoscopic stent system, good experiences have been obtained with the Endo-SPONGE® therapy for the lower gastrointestinal tract. In the future the endoluminal vacuum therapy for the upper gastrointestinal is available, too, with Eso-SPONGE®. Eso-SPONGE® represent an innovative therapy concept for the treatment of this problem in the upper gastrointestinal tract, which can contribute significantly to the reduction of morbidity and mortality of the patients. The overall success rate of endoscopic esophageal vacuum therapy in the literature ranges from 80-100%. Currently only cohort studies including a small number of patients have been performed and published. Therefore an international, prospective and multicenter registry was designed to collect clinical evidence for Eso-SPONGE treatment concept in a large population under daily clinical routine.
Study Type
OBSERVATIONAL
Enrollment
108
Siloah St. Trudpert Klinikum
Pforzheim, Baden-Wurttemberg, Germany
Sankt Katharinen Krankenhaus
Frankfurt am Main, Hesse, Germany
Healing rate of the esophageal anastomosis leakage or esophageal perforation
Reduction of the cavity, endoscopic vacuum therapy no longer necessary
Time frame: until day of discharge (approximately 2 weeks)
Number of Eso-SPONGE® changes
Time frame: until day of discharge (approximately 2 weeks)
Total number of sponges used
Total number of Eso-SPONGE® units used until day of discharge
Time frame: until day of discharge (approximately 2 weeks)
Average replacement intervals
Period of time between exchange of ESO-Sponge®
Time frame: until day of discharge (approximately 2 weeks)
Duration of endoscopic vacuum therapy
Number of days during which Eso-SPONGE® was applied
Time frame: until day of discharge (approximately 2 weeks)
Complication Rate
Number of Complications during endoscopic vacuum treatment (e.g. death, re-operations, stenosis, pneumonia, peritonitis, mediastinitis)
Time frame: until day of discharge (approximately 2 weeks)
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