title: Endo-sponge treatment of anastomotic leakage after ileo-anal pouch anastomosis: report of two cases.
abstract: 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.
authors.affiliation: Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands.
authors.forename: P J
authors.initials: PJ
authors.lastname: Van Koperen
authors.forename: M I
authors.initials: MI
authors.lastname: Van Berge Henegouwen
authors.forename: J F M
authors.initials: JF
authors.lastname: Slors
authors.forename: W A
authors.initials: WA
authors.lastname: Bemelman
mesh_terms: 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