PMC5857297_01
(a) View of the proximal sleeve perforation site prior to intervention. (b) View of the perforation after EVAC therapy. Cavity appears debrided, well perfused, and not infected. (c) Laparoscopic view of the hiatus at the time of FJ. Adhesions were taken down to see the proximal perforation site, and the Endo-SPONGE has been pulled through the perforation into the peritoneal cavity.
CRIS2018-2494069.001.jpg
PMC5857297_01_CRIS2018-2494069.001.jpg
fig1
SG. She had a staple line leak (Figure 1(a)) on postoperative day 5 with associated septic shock. Serial esophagogastroduodenoscopies with Endo-SPONGE removal failed to show resolution of the leak (Figure 1(b)). Laparoscopic FJ was performed 101 days following the initiation of EVAC (Figure 1(c)).