Endoscopic Treatment of Anastomotic Complications

Abstract

Anastomotic complications following esophagectomy can be challenging to manage with increased morbidity and mortality. Endoscopic interventions can play a key role in controlling extra-esophageal soilage and promoting anastomotic leak healing. Endoscopic stenting, endoluminal vacuum therapy and clipping are all viable options in appropriately selected patients, and should be included alongside re-operative surgical intervention as an important tool in the armamentarium of an esophageal surgeon. Similarly, endoscopic dilation via balloon or bougie dilators, as well as stent placement in the appropriate setting, are useful tools for providers who manage patients with post-anastomotic leak esophageal strictures.