CC BY-NC-ND 4.0 · Endosc Int Open 2018; 06(07): E865-E871
DOI: 10.1055/a-0599-5886
Original article
Owner and Copyright © Georg Thieme Verlag KG 2018

Open-pore film drainage (OFD): a new multipurpose tool for endoscopic negative pressure therapy (ENPT)

Gunnar Loske
Katholisches Marienkrankenhaus Hamburg gGmbH, Department for General, Abdominal, Thoracic and Vascular Surgery, Hamburg, Germany
,
Tobias Schorsch
Katholisches Marienkrankenhaus Hamburg gGmbH, Department for General, Abdominal, Thoracic and Vascular Surgery, Hamburg, Germany
,
Frank Rucktaeschel
Westküstenklinikum Heide, Department for Internal Medicine, Gastroenterology, Hemato-Oncology, Nephrology and Endocrinology, Heide, Germany
,
Wolfgang Schulze
Katholisches Marienkrankenhaus Hamburg gGmbH, Department for General, Abdominal, Thoracic and Vascular Surgery, Hamburg, Germany
,
Burkhard Riefel
Katholisches Marienkrankenhaus Hamburg gGmbH, Department for General, Abdominal, Thoracic and Vascular Surgery, Hamburg, Germany
,
Vera van Ackeren
Katholisches Marienkrankenhaus Hamburg gGmbH, Department for General, Abdominal, Thoracic and Vascular Surgery, Hamburg, Germany
,
Christian Theodor Mueller
Katholisches Marienkrankenhaus Hamburg gGmbH, Department for General, Abdominal, Thoracic and Vascular Surgery, Hamburg, Germany
› Author Affiliations
Further Information

Publication History

submitted 21 June 2017

accepted after revision 05 March 2018

Publication Date:
04 July 2018 (online)

Abstract

Background and study aims Endoscopic negative pressure therapy (ENPT) has been developed to treat gastrointestinal leakages. Up to now, ENPT has usually been performed with open-pore polyurethane foam drains (OPD). A big disadvantage of the OPDs is their large diameter. We have developed a new, small-bore open-pore film drainage (OFD). Herein we report our first experience in a case series of 16 patients.

Patients and methods OFD is constructed with a drainage tube and a very thin double-layered open-pore drainage film (Suprasorb CNP, Drainage Film, Lohmann & Rauscher International, Germany). The distal end of the tube is wrapped with only one layer of film. OFD is placed into the gastrointestinal leakage site with common endoscopic techniques. The tube is connected to an electronic vacuum device and continuous negative pressure of –125 mmHg applied.

Results From 2013 to 2016, 16 patients were treated with the new OFD device. In 10 patients, transmural intestinal defects (4 esophageal, 4 rectum/colon, 1 duodenal, 1 pancreatic cyst) were closed with ENPT in median time of 12 days (range 3 – 34 days). Five of the 10 patients were treated solely with OFD devices. In five patients ENPT started with ODP and changed to OFD when the cavity was shrunken to a channel with a small opening. In four patients postoperative gastric reflux was eliminated for 5 to 16 days.

Conclusions Small-bore OFD opens up promising new treatment options within ENPT. OFD can be used in endoscopic closure management of intestinal leakages in the upper and lower gastrointestinal tract. Gastric reflux can be eliminated in an active manner. OFD can be inserted nasally. OFD may be an adequate substitute for OPD, especially when placement of the larger OPD is difficult.

Meeting presentations: The authorsʼ experience was first reported in an oral presentation at the 46th Kongress der Deutschen Gesellschaft für Endoskopie und Bildgebende Verfahren in Mannheim (DGE-BV), 17. – 19.03.2016.