Skip to main content

Table 2 Synopsis of basic endoscopic vacuum therapy (EVT) data

From: Management of post-operative pancreatic fistulas following Longmire–Traverso pylorus-preserving pancreatoduodenectomy by endoscopic vacuum-assisted closure therapy

Patient no POPF grade (ISGPS A/B/C) POPF diagnosis (days post PPPD) Initial PGD size (mm) Begin EVT (days post PPPD) Initial EVT system (film/sponge) No. of EVT film/sponge exchanges Duration of continuous EVT (days) Additional endoscopic therapy Initial EVT pressure (mmHg) Successful PGD closure at the end of EVT Outcome
1 B 15 8 24 Sponge 6 29 PGD dilation (10 mm balloon, single session) and DEN 125 Yes Died 13 months post PPPD from relapse of cholangiocarcinoma
2 B 11 10 12 Film 1 8   125 Yes Alive until follow-up
3 B 3 8 13 Sponge (later film) 2 8   125 Yes Alive until follow-up
4 C 28 4 33 Film 2 11   125 Yes Alive until follow-up
5 B 22 8 26 Film 2 11   125 Yes Alive until follow-up
6 B 2 12 2 Sponge 4 14   100 (later increased to 125) Yes Alive until follow-up
7 B 17 15 18 (2nd cycle: 63) Sponge 6 (2nd cycle: 3) 23 (2nd cycle: 15) DEN and 22 days EVT-free interval between 1st and 2nd EVT cycle with transgastral double pig-tailed drainage of wound cavity 125 (later increased to 150) Yes (after 2nd cycle) Died 5 months post PPPD from pneumoseptic and uroseptic shock
8 C 6 2 12 Film 1 6   100 No Died 1 month post PPPD from hemorrhagic shock before proof of effectiveness of EVT
  1. DEN (direct endoscopic necrosectomy), ISGPS (International Study Group on Pancreatic Surgery), PGD (pancreatogastric dehiscence), POPF (post-operative pancreatic fistula), PPPD (pylorus-preserving pancreatoduodenectomy)