title: "Rendezvous technique" for intraluminal vacuum therapy of anastomotic leakage of the jejunum.
abstract: BACKGROUND
  Anastomotic leakage (AL) is one of the most common and serious complications following visceral surgery. In recent years, endoluminal vacuum therapy has dramatically changed therapeutic options for AL, but its use has been limited to areas easily accessible by endoscope.
  
  
  METHODS
  We describe the first use of endoluminal vacuum therapy in the small intestine employing a combined surgical and endoscopic "rendezvous technique" in which the surgeon assists the endoscopic placement of an endoluminal vacuum therapy sponge in the jejunum by means of a pullback string. This technique led to a completely closed AL after 27 days and 7 changes of the endosponge.
  
  
  CONCLUSIONS
  The combined surgical and endoscopic rendezvous technique can be useful in cases of otherwise difficult endosponge placement.
authors.affiliation: Department of General, Visceral, Vascular and Pediatric Surgery, University Hospital, Julius-Maximilians-University, University of Wuerzburg, Oberduerrbacherstr. 6, 97080, Wuerzburg, Germany. Krajinovic_k@ukw.de.
authors.forename: K
authors.initials: K
authors.lastname: Krajinovic
authors.affiliation: Department of Internal Medicine II, University of Wuerzburg Medical Center, Oberduerrbacherstr. 2, 97080, Wuerzburg, Germany.
authors.forename: S
authors.initials: S
authors.lastname: Reimer
authors.affiliation: Department of Internal Medicine II, University of Wuerzburg Medical Center, Oberduerrbacherstr. 2, 97080, Wuerzburg, Germany.
authors.forename: T
authors.initials: T
authors.lastname: Kudlich
authors.affiliation: Department of General, Visceral, Vascular and Pediatric Surgery, University Hospital, Julius-Maximilians-University, University of Wuerzburg, Oberduerrbacherstr. 6, 97080, Wuerzburg, Germany.|Comprehensive Cancer Centre Mainfranken, University Hospital, University of Wuerzburg, Josef-Schneiderstr. 6, 97080, Wuerzburg, Germany.
authors.forename: C T
authors.initials: CT
authors.lastname: Germer
authors.affiliation: Department of General, Visceral, Vascular and Pediatric Surgery, University Hospital, Julius-Maximilians-University, University of Wuerzburg, Oberduerrbacherstr. 6, 97080, Wuerzburg, Germany. wiegering_a@ukw.de.|Department of Biochemistry and Molecular Biology, University of Wuerzburg, Oberduerrbacherstr. 2, 97074, Wuerzburg, Germany. wiegering_a@ukw.de.
authors.forename: A
authors.initials: A
authors.lastname: Wiegering
keywords: Anastomotic leakage; Endosponge