Authors: Lad Sneha, Pawar Apoorva, Kalikar Vishakha, Koppikar Mohan, Bhandari Suryaprakash, Prasad Sitaram, Patankar Roy.
Transmural defects of the upper gastrointestinal (UGI) tract can be either leaks, perforations or fistulae. Endoscopic vac is a good option for management for localized leaks where stent placement is not feasible. We present a case of a 31-year-old lady who was operated for strangulated Bochdalek hernia with partial gastrectomy with esophago-gastric anastomosis. She then underwent 2 sittings of endo vac placement for management of an anastomotic leak with mediastinitis. She was followed up on outpatient basis with imaging and interval endoscopies. Post 6 months of the procedure, patient is well and is on full oral feeds.
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