Endoscopic management for gastrointestinal leaks, perforations, and fistulae: Technical tips and outcomes

Figure 7 Endoscopic vacuum therapy for post-esophagectomy with gastric pull-up surgery anastomotic leak with cavity. A: The cavity after cleaning debris and slough removal (green asterisk-esophageal lumen); B: Endosponge fashioned as per the shape and size of the cavity and sewed over a 12 Fr Ryle's tube; C: Placement of the endosponge inside the cavity using foreign body forceps; D: Endosponge placed inside the cavity completely covering the cavity; E: Follow-up image showing endosponge in place with adherent pus and debris; F: Cavity collapsed after six sessions of endoscopic vacuum therapy.