Endo-sponge treatment of anastomotic leakage after ileo-anal pouch anastomosis: report of two cases.
OBJECTIVE
The endo-sponge was used in two patients in the treatment of anastomotic leakage following ileo-anal J-pouch reconstruction. Recently, local vacuum sponge treatment has shown to be effective to treat contained anastomotic leakage after low anterior anastomosis in rectal cancer patients.


METHODS
Two patients (male, 18 years; female, 40 years) who underwent restorative proctocolectomy for ulcerative colitis developed localized anastomotic leakage without general peritonitis. This was endoscopically managed by transanal placement of an endo-sponge (B. Braun Medical B.V., Melsungen, Germany) after a diverting ileostomy was performed.


RESULTS
The sponge was frequently replaced until resolution of the sinus was achieved in 35 and 56 days.


CONCLUSIONS
Vacuum endo-sponge treatment can help anastomotic leakage after ileo-anal pouch surgery.
Van Koperen
P J
PJ
Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands.
Van Berge Henegouwen
M I
MI
Slors
J F M
JF
Bemelman
W A
WA
D000293:Adolescent; D000328:Adult; D001003:Anal Canal / Q000473:pathology; D000714:Anastomosis, Surgical; D003093:Colitis, Ulcerative / Q000601:surgery*; D039021:Colonic Pouches / Q000009:adverse effects; D003251:Constriction, Pathologic; D013505:Digestive System Surgical Procedures / Q000295:instrumentation*; D016099:Endoscopy, Gastrointestinal; D005260:Female; D006801:Humans; D008297:Male; D054843:Negative-Pressure Wound Therapy; D016737:Proctocolectomy, Restorative; D015503:Surgical Sponges